Jastrow, Kenneth M

Jastrow, Kenneth M is an individual health care provider with primary practice located at 102 N Magdalen St , San Angelo TX 76903-5400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jastrow, Kenneth M can be contacted via phone (325) 658-1511.

Contact Information

Primary practice address
102 N Magdalen St San Angelo TX 76903-5400
Phone: (325) 658-1511
Fax: (325) 481-2165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X P4968 Texas

Profile Details

NPI number 1740556448
LBN Legal business name Jastrow, Kenneth M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Apr 23rd, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740556448 NPPES
Texas Other TXB154908 MEDICARE PTAN
Texas Other 8DN791 MEDICARE PTAN

Popular Providers