Bastyr, Edward J

Bastyr, Edward J is an sole proprietor health care provider with primary practice located at 720 Eskenazi Ave University Medical Diagnostic Associates, Inc., Indianapolis IN 46202-5166. He recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Bastyr, Edward J can be contacted via phone (317) 880-5045.

Contact Information

Primary practice address
720 Eskenazi Ave University Medical Diagnostic Associates, Inc. Indianapolis IN 46202-5166
Phone: (317) 880-5045
Fax: (317) 880-0414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 01044193A Indiana
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 01044193A Indiana

Profile Details

NPI number 1831266154
LBN Legal business name Bastyr, Edward J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Dec 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831266154 NPPES
Indiana MEDICAID 201291380

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