Individual
JASON R SEBESTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
871 MILL RUN CT, STEAMBOAT SPRINGS, CO 80487-3122
(970) 205-9995
Mailing address
871 MILL RUN CT, STEAMBOAT SPRINGS, CO 80487-3122
(970) 205-9995
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
5101024416
MI
2084N0400X
Neurology Physician
91-321
WI
2084N0400X
Neurology Physician
Primary
DR.0057370
CO
2084N0400X
Neurology Physician
OS11900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014752900
—
FL
05
—
3115953
—
NH
01
—
P01518758
RAILROAD MEDICARE
FL
Enumeration date
06/03/2011
Last updated
12/27/2023
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