Jaeckle, Steven Anthony

Jaeckle, Steven Anthony is an individual health care provider with primary practice located at 1779 E Whitestone Blvd Bldg 2 , Cedar Park TX 78613-6934. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jaeckle, Steven Anthony can be contacted via phone (512) 652-0050.

Contact Information

Primary practice address
1779 E Whitestone Blvd Bldg 2 Cedar Park TX 78613-6934
Phone: (512) 652-0050
Fax: (737) 220-7850
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA14927 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 017575 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1734 Nevada

Profile Details

NPI number 1881009579
LBN Legal business name Jaeckle, Steven Anthony
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2014
Last updated Sep 30th, 2025 - 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 1881009579 NPPES
Nevada MEDICAID 1881009579

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