Bastin, Garrett
Bastin, Garrett is an individual health care provider with primary practice located at 750 Broadway Ste 350 , Fort Wayne IN 46802-1412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bastin, Garrett can be contacted via phone (260) 423-2675.Contact Information
Primary practice address
750 Broadway Ste 350
Fort Wayne IN 46802-1412
Phone: (260) 423-2675
Fax: (260) 423-6621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11021719A | Indiana |
Profile Details
| NPI number | 1548837255 |
|---|---|
| LBN Legal business name | Bastin, Garrett |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2021 |
| Last updated | Jun 10th, 2021 - about 4 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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