Bastian, Brett Allen

Bastian, Brett Allen is an individual health care provider with primary practice located at 1210 W 18Th St Ste 104, Sioux Falls SD 57104-4647. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bastian, Brett Allen can be contacted via phone (605) 328-8660.

Contact Information

Primary practice address
1210 W 18Th St Ste 104 Sioux Falls SD 57104-4647
Phone: (605) 328-8660
Fax: (605) 328-8661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0439 South Dakota

Profile Details

NPI number 1043245467
LBN Legal business name Bastian, Brett Allen
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jan 30th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043245467 NPPES
South Dakota MEDICAID 6821692

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