D'Astous, Jacques L.
D'Astous, Jacques L. is an individual health care provider with primary practice located at Fairfax Road At Virginia Street Shriners Hospitals For Children, Salt Lake City UT 84103-4399. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. D'Astous, Jacques L. can be contacted via phone (801) 536-3600.Contact Information
Primary practice address
Fairfax Road At Virginia Street Shriners Hospitals For Children
Salt Lake City UT 84103-4399
Phone: (801) 536-3600
Fax: (801) 536-3686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 294318-1205 | Utah |
Profile Details
| NPI number | 1104881499 |
|---|---|
| LBN Legal business name | D'Astous, Jacques L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Sep 15th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104881499 | NPPES |
| Colorado | MEDICAID | 41552369 |
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