Bastian, Samuel R
Bastian, Samuel R is an individual health care provider with primary practice located at 2339 Hillsboro Rd Suite 100, Franklin TN 37069-6225. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bastian, Samuel R can be contacted via phone (615) 224-1970.Contact Information
Primary practice address
2339 Hillsboro Rd Suite 100
Franklin TN 37069-6225
Phone: (615) 224-1970
Fax: (615) 916-3946
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD21179 | Tennessee |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD21179 | Tennessee |
Profile Details
NPI number | 1851382568 |
---|---|
LBN Legal business name | Bastian, Samuel R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2005 |
Last updated | Jan 27th, 2016 - about 8 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 | 1851382568 | NPPES |
Tennessee | MEDICAID | 1504970 |
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