Individual
THOMAS J. JERABEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D..O.
Contact information
Practice address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 371-4880
(402) 644-7647
Mailing address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 371-4880
(402) 644-7647
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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