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Contact Information

JASYN S CHIDESTER, A.T.C.
180 EL CAMINO REAL
SUITE M384, OFFICE 229
PALO ALTO, CA94304
 Phone: 650-885-6300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JASYN S CHIDESTER · (Male)

NPI Number 1053847475
Status Active
Credentials A.T.C.
Entity Individual
Enumeration date 05/04/2017
Last updated 02/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • Other 2000025880 BOC CERTIFIED ATHLETIC TRAINER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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