Kistler, Jonathan

Kistler, Jonathan is an individual health care provider with primary practice located at 1001 Needham St , Modesto CA 95354-0730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kistler, Jonathan can be contacted via phone (209) 569-0373.

Contact Information

Primary practice address
1001 Needham St Modesto CA 95354-0730
Phone: (209) 569-0373
Fax: (209) 529-8519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A73938 California

Profile Details

NPI number 1033161740
LBN Legal business name Kistler, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Nov 6th, 2023 - about last year

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 1033161740 NPPES
California Other A73938 MEDICAL LICENSE

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