Jaskoviak, Kent P

Jaskoviak, Kent P is an individual health care provider with primary practice located at 135 Gold Star Blvd , Worcester MA 01606. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jaskoviak, Kent P can be contacted via phone (508) 856-9510.

Contact Information

Primary practice address
135 Gold Star Blvd Worcester MA 01606
Phone: (508) 856-9510
Fax: (508) 853-1907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13115 Massachusetts

Profile Details

NPI number 1689652703
LBN Legal business name Jaskoviak, Kent P
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1689652703 NPPES
Other 7248629 AETNA US HEALTHCARE
Other Y68470 AETNA US HEALTHCARE
Other 2779432 AETNA US HEALTHCARE
Other Y67947 AETNA US HEALTHCARE
Other 0318922 AETNA US HEALTHCARE
MEDICAID 0318922 AETNA US HEALTHCARE
Other 2779432001 AETNA US HEALTHCARE
Other AA4052 AETNA US HEALTHCARE
Other 35481155 AETNA US HEALTHCARE
Other 43205 AETNA US HEALTHCARE
Other Y67947 AETNA US HEALTHCARE
Other Y67947 AETNA US HEALTHCARE

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