Bastow, Jack

Bastow, Jack is an sole proprietor health care provider with primary practice located at 4 Palisades Dr Suite 250A, Albany NY 12205-1443. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Bastow, Jack can be contacted via phone (518) 458-1771.

Contact Information

Primary practice address
4 Palisades Dr Suite 250A Albany NY 12205-1443
Phone: (518) 458-1771
Fax: (518) 459-7682
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 003886 New York

Profile Details

NPI number 1881621423
LBN Legal business name Bastow, Jack
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated Jan 22nd, 2009 - about 15 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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