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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

BRETT A BASTIAN, PAC
1210 W 18TH ST
STE 104
SIOUX FALLS, SD57104-4647
 Phone: 605-328-8660
 Fax: 605-328-8661
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRETT A BASTIAN · (Male)

NPI Number 1043245467
Credentials PAC
Entity Individual
Enumeration date 07/12/2006
Last updated 01/30/2009 - About 8 years ago
Sole proprietor 1 No
Identifiers
SD License # 0439
SD Medicaid 6821692
SD Medicare PIN P00419569
SD Medicare PIN S102037
SD Medicare PIN S102972
Medicare UPIN S26991
Hospital affiliation(s)
  • AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER - (Acute Care)
    1325 S CLIFF AVE POST OFFICE BOX 5045
    SIOUX FALLS, SD 57117
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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