Bastarache, Louise Racine

Bastarache, Louise Racine is an individual health care provider with primary practice located at 46 Obery St , Plymouth MA 02360-2237. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Bastarache, Louise Racine can be contacted via phone (508) 830-6116.

Contact Information

Primary practice address
46 Obery St Plymouth MA 02360-2237
Phone: (508) 830-6116
Fax: (508) 747-6308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 143429 Massachusetts
Other Service Providers / Midwife 176B00000X 143429 Massachusetts

Profile Details

NPI number 1619975208
LBN Legal business name Bastarache, Louise Racine
Credentials CNM, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Feb 20th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619975208 NPPES
Other NP1103 BCBS
Other 13464 BCBS
Other 791798 BCBS
Other CN0081 BCBS
MEDICAID 0355747 BCBS

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