1417492281 NPI number — MR. CARLOS BASTARDO

Table of content: MR. CARLOS BASTARDO (NPI 1417492281)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417492281 NPI number — MR. CARLOS BASTARDO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BASTARDO
Provider First Name:
CARLOS
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BASTARDO
Provider Other First Name:
DEBRA
Provider Other Middle Name:
LYNN
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1417492281
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/03/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11191 SHADYLANE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLYMOUTH
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46563-8623
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
574-936-4152
Provider Business Mailing Address Fax Number:
312-256-9390

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11191 SHADYLANE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLYMOUTH
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46563-8623
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
574-936-4152
Provider Business Practice Location Address Fax Number:
312-256-9390
Provider Enumeration Date:
01/03/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 405300000X , with the licence number:  3577690 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3577690 . This is a "NATIONAL PRODUCER NUMBER" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".




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