Bastian, Lee Young

Bastian, Lee Young is an individual health care provider with primary practice located at 615 Wesley Dr Suite 200, Charleston SC 29407-7204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bastian, Lee Young can be contacted via phone (843) 571-6880.

Contact Information

Primary practice address
615 Wesley Dr Suite 200 Charleston SC 29407-7204
Phone: (843) 571-6880
Fax: (843) 571-1387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 19552 South Carolina

Profile Details

NPI number 1497139117
LBN Legal business name Bastian, Lee Young
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2015
Last updated Oct 29th, 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 1497139117 NPPES
South Carolina MEDICAID NP3503

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