Chidester, Jasyn Scott

Chidester, Jasyn Scott is an individual health care provider with primary practice located at 180 El Camino Real Suite M384, Office 229, Palo Alto CA 94304. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Chidester, Jasyn Scott can be contacted via phone (650) 885-6300.

Contact Information

Primary practice address
180 El Camino Real Suite M384, Office 229 Palo Alto CA 94304
Phone: (650) 885-6300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1053847475
LBN Legal business name Chidester, Jasyn Scott
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2017
Last updated Feb 1st, 2018 - about 7 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 1053847475 NPPES
Other 2000025880 BOC CERTIFIED ATHLETIC TRAINER

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