Thomas R Bastien in Grand Rapids - Chiropractor
Thomas R Bastien - NPI 1083836084
Thomas R Bastien is a Chiropractor in Grand Rapids, Michigan. Thomas R Bastien practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Thomas R Bastien is 1083836084. The last update date is 2007-07-08.
Thomas R Bastien's current location address is 2135 Plainfield Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163632822 and fax number 6163630905. The mailing address for Thomas R Bastien is 2135 Plainfield Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas R Bastien |
|---|---|
| Address | 2135 Plainfield Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6163632822 |
| Fax Number | 6163630905 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1083836084 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2135 Plainfield Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495054203 |
| Phone Number | 6163632822 |
| Fax Number | 6163630905 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301006501 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3263103 | MI | -- |
Post Comment/ Review Below
What is the Thomas R Bastien's unique identification number?
The Thomas R Bastien has been assigned the NPI (National Provider Identifier) Number 1083836084 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Thomas R Bastien?
The Thomas R Bastien is situated at 2135 Plainfield Ave Ne, in the city of Grand Rapids, state of MI, with the zip code 495054203.
What is Thomas R Bastien's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Thomas R Bastien is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Thomas R Bastien receive its 1083836084 assignment from the Centers for Medicare & Medicaid Services?
The Thomas R Bastien was assigned its 1083836084 by the Centers for Medicare & Medicaid Services on 2007-05-02.
When was the information pertaining to Thomas R Bastien most recently updated or revised?
The details related to Thomas R Bastien, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.