Bastl, Christine

Bastl, Christine is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Bastl, Christine can be contacted via phone (215) 707-4600.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5103
Phone: (215) 707-4600
Fax: (215) 707-4034
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD012957E Pennsylvania

Profile Details

NPI number 1679560452
LBN Legal business name Bastl, Christine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Apr 24th, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679560452 NPPES
Pennsylvania MEDICAID 0006753090001

Popular Providers