Bastiaanse, Matthew J
Bastiaanse, Matthew J is an sole proprietor health care provider with primary practice located at 29 Windham Rd , Bristol CT 06010. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Bastiaanse, Matthew J can be contacted via phone (860) 261-5367.Contact Information
Primary practice address
29 Windham Rd
Bristol CT 06010
Phone: (860) 261-5367
Fax: (860) 261-5367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 001281 | Connecticut |
Profile Details
| NPI number | 1922230671 |
|---|---|
| LBN Legal business name | Bastiaanse, Matthew J |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2009 |
| Last updated | Feb 24th, 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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