Bastian, Leslie T.

Bastian, Leslie T. is an sole proprietor health care provider with primary practice located at 366 E 1100 S , Mapleton UT 84664-5012. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Bastian, Leslie T. can be contacted via phone (801) 491-2199.

Contact Information

Primary practice address
366 E 1100 S Mapleton UT 84664-5012
Phone: (801) 491-2199
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Utah

Profile Details

NPI number 1013286152
LBN Legal business name Bastian, Leslie T.
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2011
Last updated Dec 19th, 2011 - about 15 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 1013286152 NPPES
Utah Other 22 PROVIDER CODE

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