Bastaich, Robert J
Bastaich, Robert J is an sole proprietor health care provider with primary practice located at 30 Trinity Point Dr , Washington PA 15301-2974. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bastaich, Robert J can be contacted via phone (724) 229-7769.Contact Information
Primary practice address
30 Trinity Point Dr
Washington PA 15301-2974
Phone: (724) 229-7769
Fax: (724) 229-7792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | PA 6851-P | Pennsylvania |
Profile Details
| NPI number | 1609808880 |
|---|---|
| LBN Legal business name | Bastaich, Robert J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609808880 | NPPES |
| Pennsylvania | MEDICAID | 1007305570009 |
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