Bastian, Roland Egon
Bastian, Roland Egon is an sole proprietor health care provider with primary practice located at 215 W Janss Rd , Thousand Oaks CA 91360-1847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bastian, Roland Egon can be contacted via phone (805) 370-4435.Contact Information
Primary practice address
215 W Janss Rd
Thousand Oaks CA 91360-1847
Phone: (805) 370-4435
Fax: (805) 379-5579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G83563 | California |
Profile Details
| NPI number | 1982634242 |
|---|---|
| LBN Legal business name | Bastian, Roland Egon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jul 7th, 2008 - about 16 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 | 1982634242 | NPPES |
| California | MEDICAID | 00G835630 |
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