Bast, Stacey Marie

Bast, Stacey Marie is an sole proprietor health care provider with primary practice located at 223 Garden St , Edwardsville IL 62025-1974. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bast, Stacey Marie can be contacted via phone (314) 420-9576.

Contact Information

Primary practice address
223 Garden St Edwardsville IL 62025-1974
Phone: (314) 420-9576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043-087181 Illinois

Profile Details

NPI number 1578105367
LBN Legal business name Bast, Stacey Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2019
Last updated Oct 13th, 2019 - about 5 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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