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MRS. JACKIE ANNE HARASEWICZ OMT
NPI 1295368090
Specialist in Coloma, MI

Active since February 20, 2020
213 N PAW PAW ST, COLOMA, MI 49038(269) 753-8213 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 24, 2021, Feb 20, 2020 (2 updates tracked since 2020).

About Mrs. Jackie Anne Harasewicz Omt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACKIE ANNE HARASEWICZ OMT (NPI 1295368090) is an individual specialist in Coloma, Michigan and active in the NPI registry since February 2020. She maintains a secondary practice location in Watervliet.

NPPES Registry Identity

NPI1295368090
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. JACKIE ANNE HARASEWICZCredential: OMT
Location Address213 N PAW PAW STColoma, MI 49038-9589
Mailing Address504 Lost Oak LnWatervliet, MI 49098-8345 · (269) 753-8213
Phone(269) 753-8213
Sole ProprietorYes
Enumeration DateFebruary 20, 2020
Last NPPES UpdateFebruary 24, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
✔ NPI 1295368090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedDental HygienistTaxonomy 124Q00000X · License 2902016477 (MI)
213 N PAW PAW ST, Coloma, MI 49038
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Other Names 1

Former Name (1)Jackie Anne Stockton Omt

Secondary Practice Location 1

Location 1504 Lost Oak LnWatervliet, MI 49098-8345 · Phone (269) 753-8213

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GETZ DENTAL PLLC
Dentist (General Practice)
213 N PAW PAW ST
COLOMA, MI 49038
Berrien County (269) 468-5741
COLOMA DENTAL PLLC
Dentist (General Practice)
213 N PAW PAW ST
COLOMA, MI 49038
Berrien County (269) 468-5741
DR. DARLENE SUZANNE BRUNER-GETZ DDS
Dentist
213 N PAW PAW ST
COLOMA, MI 49038
Berrien County (269) 468-5741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Harasewicz's NPI number?

The NPI number for Jackie Harasewicz is 1295368090. It was assigned to this individual provider in the NPPES registry on February 20, 2020. The provider is also known as Jackie Anne Stockton Omt.

Where is Jackie Harasewicz located?

Jackie Harasewicz practices at 213 N Paw Paw St, Coloma, MI 49038. The listed phone number is (269) 753-8213.

What is Jackie Harasewicz's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jackie Harasewicz was last updated on February 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.