Bast, Stephen D
Bast, Stephen D is an sole proprietor health care provider with primary practice located at 3676 Parker Blvd , Pueblo CO 81008-2212. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bast, Stephen D can be contacted via phone (719) 553-2208.Contact Information
Primary practice address
3676 Parker Blvd
Pueblo CO 81008-2212
Phone: (719) 553-2208
Fax: (719) 553-2223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.0004346 | Colorado |
Profile Details
| NPI number | 1922001700 |
|---|---|
| LBN Legal business name | Bast, Stephen D |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Jan 18th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922001700 | NPPES |
| Colorado | MEDICAID | 08431701 |
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