Bastinelli, Dominic Michael

Bastinelli, Dominic Michael is an individual health care provider with primary practice located at 4101 S 4Th St Bldg 160, Leavenworth KS 66048-5014. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bastinelli, Dominic Michael can be contacted via phone (913) 682-2000.

Contact Information

Primary practice address
4101 S 4Th St Bldg 160 Leavenworth KS 66048-5014
Phone: (913) 682-2000
Fax: (913) 758-4149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4504 Kansas

Profile Details

NPI number 1225472285
LBN Legal business name Bastinelli, Dominic Michael
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2013
Last updated Mar 14th, 2017 - about 9 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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