Page, Marilou Bastan
Page, Marilou Bastan is an sole proprietor health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Page, Marilou Bastan can be contacted via phone (800) 243-1455.Contact Information
Primary practice address
500 University Dr
Hershey PA 17033-2360
Phone: (800) 243-1455
Fax: (717) 531-3664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD440189 | Pennsylvania |
Profile Details
| NPI number | 1114245388 |
|---|---|
| LBN Legal business name | Page, Marilou Bastan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2010 |
| Last updated | Mar 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114245388 | NPPES |
| Pennsylvania | MEDICAID | 1025368800001 |
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