Bastidas, Jaime A
Bastidas, Jaime A is an sole proprietor health care provider with primary practice located at 244 Roseberry St. Suite #5, Phillipsburg NJ 08865. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Bastidas, Jaime A can be contacted via phone (908) 454-1704.Contact Information
Primary practice address
244 Roseberry St. Suite #5
Phillipsburg NJ 08865
Phone: (908) 454-1704
Fax: (908) 454-1706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD422370 | Pennsylvania |
| Other Service Providers / Specialist | 174400000X | 25MA07689900 | New Jersey |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | MD422370 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 25MA07689900 | New Jersey |
Profile Details
| NPI number | 1992807705 |
|---|---|
| LBN Legal business name | Bastidas, Jaime A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Aug 7th, 2015 - about 9 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 | 1992807705 | NPPES |
| New Jersey | Other | 074448ZH1E | MEDICARE PTAN |
| New Jersey | Other | 074448UK1 | MEDICARE PTAN |
| New Jersey | Other | 073750 | MEDICARE PTAN |
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