Bastian, Jessica Marie

Bastian, Jessica Marie is an sole proprietor health care provider with primary practice located at 1704 W Main St , Leesburg FL 34748-4861. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Bastian, Jessica Marie can be contacted via phone (352) 702-1478.

Contact Information

Primary practice address
1704 W Main St Leesburg FL 34748-4861
Phone: (352) 702-1478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1518596030
LBN Legal business name Bastian, Jessica Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2020
Last updated Apr 6th, 2020 - about 4 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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