Provider Demographics
NPI:1457545436
Name:AUSTIN, BAHJA YAASMIN
Entity Type:Individual
Prefix:MISS
First Name:BAHJA
Middle Name:YAASMIN
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1334 MARKLE ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-1842
Mailing Address - Country:US
Mailing Address - Phone:330-431-6519
Mailing Address - Fax:
Practice Address - Street 1:1334 MARKLE ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-1842
Practice Address - Country:US
Practice Address - Phone:330-431-6519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide