Jastremski, Kelly Andrew

Jastremski, Kelly Andrew is an individual health care provider with primary practice located at 1550 S Liberty Dr , Bloomington IN 47403-5167. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jastremski, Kelly Andrew can be contacted via phone (812) 339-2811.

Contact Information

Primary practice address
1550 S Liberty Dr Bloomington IN 47403-5167
Phone: (812) 339-2811
Fax: (812) 961-0746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12009671 Indiana

Profile Details

NPI number 1215059514
LBN Legal business name Jastremski, Kelly Andrew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
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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