Bastian, James Louis

Bastian, James Louis is an individual health care provider with primary practice located at 2809 Evans Avenue , Cheyenne WY 82001. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bastian, James Louis can be contacted via phone (307) 634-0795.

Contact Information

Primary practice address
2809 Evans Avenue Cheyenne WY 82001
Phone: (307) 634-0795
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 267 Wyoming

Profile Details

NPI number 1174509517
LBN Legal business name Bastian, James Louis
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1174509517 NPPES
Wyoming MEDICAID 0600383015

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