# JASPUR C. KOLAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598851560
- **Gender:** Man
- **Credential:** PAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 408 | MT | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 10/11/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000096253 | BCBS PIN | MT |
| 01 | — | 121018100 | MDCD PIN | WY |
| 01 | — | 4305262 | MDCD PIN | MT |