Bash, Evan K

Bash, Evan K is an individual health care provider with primary practice located at One Medical Ctr Blvd Ccmc Pob Ii Ste 324, Upland PA 19013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bash, Evan K can be contacted via phone (610) 876-0347.

Contact Information

Primary practice address
One Medical Ctr Blvd Ccmc Pob Ii Ste 324 Upland PA 19013
Fax: (610) 876-3788
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD030656E Pennsylvania

Profile Details

NPI number 1508812272
LBN Legal business name Bash, Evan K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 16th, 2007 - about 17 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 1508812272 NPPES
Pennsylvania MEDICAID 1115540

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