Jacob George Kriegbaum, DPT | |
4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | |
(702) 653-3100 | |
Not Available |
Full Name | Jacob George Kriegbaum |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538689716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT60745455 (Washington) | Primary |
Provider Name | Multicare Health System |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Provider Name | Rockwood Clinic Ps |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417953787 PECOS PAC ID: 8527976513 Enrollment ID: O20031117000912 |
Mailing Address | Practice Location Address |
---|---|
Jacob George Kriegbaum, DPT 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-3100 | Jacob George Kriegbaum, DPT 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-3100 |
Katrina Baumann, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Wesley Jerome Oaties Ii, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 Fax: 714-256-0770 | |
John M Tonarelli, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3100 | |
Michael C Chan, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3630 | |
Matthew Norfolk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Michael L Heiner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3100 | |
Felipe Almazan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Mike O'callaghan Federal Hospital, Nellis Afb, NV 89191 Phone: 702-353-2100 |