Individual
THOMAS J. JERABEK
Active
Individual
THOMAS J. JERABEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D..O.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
465
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098713
MEDICARE-IMC/BERGAN
NE
05
—
10025507800
—
IA
05
—
10025709900
—
NE
05
—
10025745600
—
NE
05
—
47055043813
—
NE
01
—
I21224
MEDICARE-MERCY
IA
01
—
NA1324
MEDICARE-MIDLANDS
NE
Enumeration date
06/04/2006
Last updated
06/15/2016
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