Bash, Stephen E
Bash, Stephen E is an sole proprietor health care provider with primary practice located at 6161 N Trails End , Peoria IL 61614-3524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Bash, Stephen E can be contacted via phone (309) 692-2664.Contact Information
Primary practice address
6161 N Trails End
Peoria IL 61614-3524
Phone: (309) 692-2664
Fax: (309) 692-2664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 036-070694 | Illinois |
Profile Details
| NPI number | 1417041666 |
|---|---|
| LBN Legal business name | Bash, Stephen E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Dec 9th, 2020 - about 5 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 | 1417041666 | NPPES |
| Illinois | MEDICAID | 036070694 |
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