Bashuk, Stephen T

Bashuk, Stephen T is an individual health care provider with primary practice located at 1505 Northside Blvd Suite 3500, Cumming GA 30041-7623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Bashuk, Stephen T can be contacted via phone (770) 886-3555.

Contact Information

Primary practice address
1505 Northside Blvd Suite 3500 Cumming GA 30041-7623
Fax: (770) 205-6501
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 46040 Georgia

Profile Details

NPI number 1952338428
LBN Legal business name Bashuk, Stephen T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Mar 28th, 2012 - about 12 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 1952338428 NPPES
Georgia MEDICAID 000909565J

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