Individual provider · Type 1 NPI

Jacob R. Dinauer, MED, ATC, EMT

Intermediate Emergency Medical Technician · Kenosha, WI

NPI number 1699737288 Active

Practice location

2001 Alford Park Dr, Tarc 1150
Kenosha, WI 53140-1929

Fax (262) 551-5995

Mailing address

3526 W 7 Mile Rd
Caledonia, WI 53108-9749

Specialties and licenses

TaxonomyCodeLicense
Intermediate Emergency Medical Technician Primary 146M00000X304299 (WI)
Athletic Trainer 2255A2300X103-039 (WI)

Intermediate Emergency Medical Technician: An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.

36 other providers at this address

About NPI 1699737288

Jacob R. Dinauer, MED, ATC, EMT's National Provider Identifier is 1699737288, issued on Apr 6, 2006. The primary taxonomy on file is Intermediate Emergency Medical Technician (146M00000X), and the practice location is in Kenosha, WI. The record was last updated on Jul 13, 2026.