JACOB SAVAGEAU NPI 1093306078

NPI Information

NPI: 1093306078
Provider Name: JACOB SAVAGEAU
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
2701 9TH AVE S STE E
FARGO, ND
ZIP 58103
Phone: (701) 715-3178
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Jacob Savageau is a peer specialist in Fargo, ND. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Jacob Savageau NPI is 1093306078. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2701 9TH AVE S STE E
FARGO, ND
ZIP 58103-712
Phone: (701) 715-3178

The enumeration date for this NPI number is 2/1/2021 and was last updated on 4/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	171M00000X	Case Manager/Care Coordinator	No
2	172A00000X	Driver	No
3	175T00000X	Peer Specialist	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1481525	MEDICAID	NORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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