Bastnagel, William R

Bastnagel, William R is an individual health care provider with primary practice located at 1910 Nonconnah Blvd Suite 120, Memphis TN 38132-2113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bastnagel, William R can be contacted via phone (901) 448-2300.

Contact Information

Primary practice address
1910 Nonconnah Blvd Suite 120 Memphis TN 38132-2113
Phone: (901) 448-2300
Fax: (901) 448-6657
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 15168 Tennessee

Profile Details

NPI number 1558328161
LBN Legal business name Bastnagel, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1558328161 NPPES
Tennessee MEDICAID 3021754

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