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
Fax: (615) 916-3946
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851382568 NPPES
Tennessee MEDICAID 1504970

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