Bast, Sue

Bast, Sue is an individual health care provider with primary practice located at 15002 N 32Nd St , Phoenix AZ 85032-4441. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Bast, Sue can be contacted via phone (602) 449-2035.

Contact Information

Primary practice address
15002 N 32Nd St Phoenix AZ 85032-4441
Phone: (602) 449-2035
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN074556 Arizona

Profile Details

NPI number 1720212004
LBN Legal business name Bast, Sue
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2009
Last updated May 14th, 2009 - about 15 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 1720212004 NPPES
Arizona MEDICAID 629199

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