Aydelotte, Jayson David

Aydelotte, Jayson David is an individual health care provider with primary practice located at 601 E 15Th St , Austin TX 78701-1930. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Aydelotte, Jayson David can be contacted via phone (512) 324-7000.

Contact Information

Primary practice address
601 E 15Th St Austin TX 78701-1930
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD036265 District of Columbia
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD036265 District of Columbia
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X MD036265 District of Columbia
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X N8483 Texas

Profile Details

NPI number 1063493039
LBN Legal business name Aydelotte, Jayson David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Nov 11th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063493039 NPPES
Texas MEDICAID 281458403
Texas Other 281458402
Texas MEDICAID 281458401

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