NPI 1699737288

Jacob R. Dinauer, MEDATCEMT

Practitioner Intermediate Emergency Medical Technician Kenosha, WI

Practice location

Address: 2001 Alford Park Dr Tarc 1150, Kenosha, WI 53140-1929
Phone: (262) 551-6107
Fax: (262) 551-5995
Mailing address: 3526 W 7 Mile Rd, Caledonia, WI 53108-9749

Registered specialties (2)

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence 304299 (WI)

Other Emergency Medical Technician, Intermediate providers in Wisconsin →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 103-039 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1699737288
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.