Jay Bastian Llc

LBN: Jay Bastian Llc
Jay Bastian Llc is an health care organization with primary practice located at 9329 Illinois Rd , Fort Wayne IN 46804-5796. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Jay Bastian Llc can be contacted via phone (260) 418-9653, or through Bastian, Jay Alan via phone (260) 418-9653.

Contact Information

Primary practice address
9329 Illinois Rd Fort Wayne IN 46804-5796
Phone: (260) 418-9653
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bastian, Jay Alan Licensed Clinical Social Worker (LCSW)
Phone: (260) 418-9653

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34007970A Indiana

Profile Details

NPI number 1740780204
LBN Legal business name Jay Bastian Llc
DBA Doing business as
Authorized official Bastian, Jay Alan Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2018
Last updated Oct 26th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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