Holly Bastarache is a Clinical in Norton, Massachusetts. Holly Bastarache practices all healthcare services and medical treatments related to Clinical. The NPI Number for Holly Bastarache is 1750418513. The last update date is 2009-07-27.
Holly Bastarache's current location address is 108 W Main St, Norton, Massachusetts. You can contact this provider via phone number 5082859400 and fax number 5082856573. The mailing address for Holly Bastarache is 108 W Main St, Norton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Bastarache |
|---|---|
| Address | 108 W Main St, Norton, Massachusetts |
| Phone Number | 5082859400 |
| Fax Number | 5082856573 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1750418513 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2009-07-27 |
Provider Mailing Address Detail
| Address | 108 W Main St |
|---|---|
| City | Norton |
| State | Massachusetts (MA) |
| Post Code | 27661248 |
| Phone Number | 5082859400 |
| Fax Number | 5082856573 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 114628 |
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What is the unique 10-digit identification code issued to Holly Bastarache by the Centers for Medicare & Medicaid Services?
The Holly Bastarache has been assigned the NPI (National Provider Identifier) 1750418513 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Holly Bastarache located?
The Holly Bastarache is located at 108 W Main St, Norton, MA 27661248.
What is Holly Bastarache's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Holly Bastarache is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750418513 to Holly Bastarache?
The Holly Bastarache received its 1750418513 assignment from the Centers for Medicare & Medicaid Services on 2007-02-28.
As of what date were the details related to Holly Bastarache most recently updated or revised?
The information pertaining to Holly Bastarache, including its address, specialty, and other relevant details, was last updated or revised on 2009-07-27.
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