Bastos, Genevieve T

Bastos, Genevieve T is an individual health care provider with primary practice located at 2700 E Centre Ave , Portage MI 49002-5500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bastos, Genevieve T can be contacted via phone (269) 286-7050.

Contact Information

Primary practice address
2700 E Centre Ave Portage MI 49002-5500
Phone: (269) 286-7050
Fax: (269) 286-7051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704216473 Michigan

Profile Details

NPI number 1902843774
LBN Legal business name Bastos, Genevieve T
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Sep 1st, 2020 - about 5 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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