Bastian, Brooke L

Bastian, Brooke L is an individual health care provider with primary practice located at 8415 N Pima Rd Ste 280 , Scottsdale AZ 85258-4488. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bastian, Brooke L can be contacted via phone (480) 245-4425.

Contact Information

Primary practice address
8415 N Pima Rd Ste 280 Scottsdale AZ 85258-4488
Phone: (480) 245-4425
Fax: (480) 245-4426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 6536 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6536 Arizona

Profile Details

NPI number 1225585649
LBN Legal business name Bastian, Brooke L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Jul 20th, 2020 - about 5 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 1225585649 NPPES
Arizona MEDICAID 275506

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