Individual
CASEY RYKO JESTROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM, R. EEG T
Contact information
Practice address
2318 HALL AVE, GRAND JUNCTION, CO 81501-6234
(303) 886-6641
Mailing address
2318 HALL AVE, GRAND JUNCTION, CO 81501-6234
(303) 886-6641
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
99-187-0511
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD450M96159
ANTHEM BLUE CROSS/BLUE SHIELD
CO
Enumeration date
10/23/2018
Last updated
10/23/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us