Bastar, Tony
Bastar, Tony is an sole proprietor health care provider with primary practice located at 58 W Chrisfield Dr , Meridian ID 83646-3255. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Bastar, Tony can be contacted via phone (208) 419-5300.Contact Information
Primary practice address
58 W Chrisfield Dr
Meridian ID 83646-3255
Phone: (208) 419-5300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 56825 | Idaho |
Profile Details
| NPI number | 1992490254 |
|---|---|
| LBN Legal business name | Bastar, Tony |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2023 |
| Last updated | Apr 12th, 2023 - about 2 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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