| Doctor Name: | ROGER JAHN |
| NPI Number: | 1417114745 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN, PHN |
| License Number: | R086773-5 |
| Business Practice Address: | 17230 Noopiming Dr Onamia, MN - 563594522 |
| Business Phone Number: | 3205327457 |
| Business Fax Number: | 3205327524 |
| Mailing Address: | 17230 Noopiming Dr, ONAMIA |
| State: | MN |
| Postal Code: | 563594522 |
| Phone Number: | 3205327457 |
| Fax Number: | 3205327524 |
| NPI Enumeration Date: | 05/22/2008 |
| NPI Last Update Date: | 05/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | R086773-5 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |