Bast, Diane Marie
Bast, Diane Marie is an individual health care provider with primary practice located at 500 Elm Grove Rd Suite 100, Elm Grove WI 53220. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bast, Diane Marie can be contacted via phone (262) 782-2090.Contact Information
Primary practice address
500 Elm Grove Rd Suite 100
Elm Grove WI 53220
Phone: (262) 782-2090
Fax: (262) 782-2092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3821125 | Wisconsin |
Profile Details
| NPI number | 1568512572 |
|---|---|
| LBN Legal business name | Bast, Diane Marie |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
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