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Contact Information

CYNTHIA J BAST, PAC
2310 CRESTVIEW DR
HUDSON, WI54016
 Phone: 715-531-6802
 Fax: 715-531-6803
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CYNTHIA J BAST · (Female)

NPI # 1083706873
Status Active
Credentials PAC
Entity Individual
Enumeration date 09/29/2006
Last updated 08/14/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 9534
  • WI License # 1220
  • WI License # 122023
Hospital affiliation(s) Not Available
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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