Bast, Peter Henry

Bast, Peter Henry is an individual health care provider with primary practice located at 111 W 24Th St , Holland MI 49423-4791. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bast, Peter Henry can be contacted via phone (616) 396-0006.

Contact Information

Primary practice address
111 W 24Th St Holland MI 49423-4791
Phone: (616) 396-0006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301088667 Michigan

Profile Details

NPI number 1295937332
LBN Legal business name Bast, Peter Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Jan 19th, 2011 - 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 1295937332 NPPES
Other 1295937332 BLUE CROSS / BLUE SHIELD
Other 12094092 BLUE CROSS / BLUE SHIELD

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