Bast, Barry V

Bast, Barry V is an individual health care provider with primary practice located at 7326 Cr Jj , Manitowoc WI 54220-7316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bast, Barry V can be contacted via phone (920) 973-3089.

Contact Information

Primary practice address
7326 Cr Jj Manitowoc WI 54220-7316
Phone: (920) 973-3089
Fax: (920) 682-0888
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 16625 Wisconsin

Profile Details

NPI number 1629184932
LBN Legal business name Bast, Barry V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated May 20th, 2013 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629184932 NPPES
Wisconsin Other 31124900 T19 MANAGED HEALTH SERVIC
Wisconsin MEDICAID 31124900 T19 MANAGED HEALTH SERVIC

Popular Providers