Bast, Diana

Bast, Diana is an individual health care provider with primary practice located at 1534 Park Ave Suite 210, Quakertown PA 18951-1084. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bast, Diana can be contacted via phone (267) 424-8850.

Contact Information

Primary practice address
1534 Park Ave Suite 210 Quakertown PA 18951-1084
Phone: (267) 424-8850
Fax: (215) 538-7907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 25MP00181700 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA057632 Pennsylvania

Profile Details

NPI number 1568657641
LBN Legal business name Bast, Diana
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2007
Last updated May 31st, 2016 - about 9 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 1568657641 NPPES
New Jersey Other 140042NMS MEDICARE PTAN

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