Bashuk, Robert Glen

Bashuk, Robert Glen is an individual health care provider with primary practice located at 4460 Austell Rd , Austell GA 30106-1844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bashuk, Robert Glen can be contacted via phone (770) 941-4716.

Contact Information

Primary practice address
4460 Austell Rd Austell GA 30106-1844
Phone: (770) 941-4716
Fax: (770) 941-3047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 026451 Georgia

Profile Details

NPI number 1316940547
LBN Legal business name Bashuk, Robert Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Dec 3rd, 2010 - about 14 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 1316940547 NPPES
Georgia MEDICAID 000345639S
Georgia Other 130014132

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