Bastian, Leslie T.
Bastian, Leslie T. is an sole proprietor health care provider with primary practice located at 366 E 1100 S , Mapleton UT 84664-5012. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Bastian, Leslie T. can be contacted via phone (801) 491-2199.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Utah |
Profile Details
| NPI number | 1013286152 |
|---|---|
| LBN Legal business name | Bastian, Leslie T. |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2011 |
| Last updated | Dec 19th, 2011 - about 14 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 | 1013286152 | NPPES |
| Utah | Other | 22 | PROVIDER CODE |
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