Judith Marie Bastin in Antioch - Addiction (substance Use Disorder)
Judith Marie Bastin - NPI 1104031285
Judith Marie Bastin is a Addiction (substance Use Disorder) in Antioch, California. Judith Marie Bastin practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Judith Marie Bastin is 1104031285. The last update date is 2007-07-08.
Judith Marie Bastin's current location address is 1915 D St, Antioch, California. You can contact this provider via phone number 9257543673 and fax number 9257542002. The mailing address for Judith Marie Bastin is 1915 D St, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Marie Bastin |
|---|---|
| Address | 1915 D St, Antioch, California |
| Phone Number | 9257543673 |
| Fax Number | 9257542002 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104031285 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1915 D St |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945092571 |
| Phone Number | 9257543673 |
| Fax Number | 9257542002 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 753 | CA | MEDI-CAL BILLING NUMBER | |
| 70753 | CA | MASTER PROVIDER NUMBER |
Post Comment/ Review Below
What is the Judith Marie Bastin's unique identification number?
The Judith Marie Bastin has been assigned the NPI (National Provider Identifier) Number 1104031285 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Judith Marie Bastin is located?
The Judith Marie Bastin is situated at the following address: 1915 D St, Antioch, CA, 945092571.
What is Judith Marie Bastin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Judith Marie Bastin's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
When did Judith Marie Bastin receive its 1104031285 assignment?
The Judith Marie Bastin was assigned its 1104031285 on 2007-05-11, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Judith Marie Bastin most recently updated or revised?
The details related to Judith Marie Bastin, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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