Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB R. DINAUER, MED, ATC, EMT
ActiveEmergency Medical Technician, Paramedic · KENOSHA, WI
Registration Details
- NPI Number
- 1699737288
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2006 (20.04488654265 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
304299 (WI)103-039 (WI)
Practice Information
- Address
-
2001 ALFORD PARK DRTARC 1150KENOSHA, WI, 531401929Browse WI providers · Browse ZIP 53140
- Phone
- 2625516107
- Fax
- 2625515995
- Primary Specialty
-
Emergency Medical Technician, Paramedic
146M00000X
- Additional Specialty
- Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.