Bastian, Jessica Lynn
Bastian, Jessica Lynn is an individual health care provider with primary practice located at 102 Dawn Ln , Waverly OH 45690-9695. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Bastian, Jessica Lynn can be contacted via phone (740) 947-7783.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | S.1502311 | Ohio |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | I.2203965 | Ohio |
Profile Details
| NPI number | 1851764575 |
|---|---|
| LBN Legal business name | Bastian, Jessica Lynn |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2015 |
| Last updated | Jun 14th, 2023 - about last year |
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 | 1851764575 | NPPES |
| Ohio | MEDICAID | 0279524 |
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