Bast, Brian T.

Bast, Brian T. is an individual health care provider with primary practice located at 513 Parnassus Ave Rm S738 , San Francisco CA 94143-2205. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bast, Brian T. can be contacted via phone (415) 476-3242.

Contact Information

Primary practice address
513 Parnassus Ave Rm S738 San Francisco CA 94143-2205
Phone: (415) 476-3242
Fax: (415) 476-0665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X A77023 California

Profile Details

NPI number 1689693087
LBN Legal business name Bast, Brian T.
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 9th, 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 1689693087 NPPES
California MEDICAID 00A770230

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