Jestrovich, Casey Ryko
Jestrovich, Casey Ryko is an individual health care provider with primary practice located at 2318 Hall Ave , Grand Junction CO 81501-6234. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Jestrovich, Casey Ryko can be contacted via phone (303) 886-6641.Contact Information
Primary practice address
2318 Hall Ave
Grand Junction CO 81501-6234
Phone: (303) 886-6641
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic | 246ZE0600X | 99-187-0511 | Colorado |
Profile Details
| NPI number | 1538635982 |
|---|---|
| LBN Legal business name | Jestrovich, Casey Ryko |
| Credentials | CNIM, R. EEG T |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2018 |
| Last updated | Oct 23rd, 2018 - about 6 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 | 1538635982 | NPPES |
| Colorado | Other | VAD450M96159 | ANTHEM BLUE CROSS/BLUE SHIELD |
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