Bastin, Jeffrey Kent

Bastin, Jeffrey Kent is an individual health care provider with primary practice located at 401 N Lakeview St , Sturgis MI 49091-1229. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bastin, Jeffrey Kent can be contacted via phone (269) 651-1716.

Contact Information

Primary practice address
401 N Lakeview St Sturgis MI 49091-1229
Fax: (269) 651-1717
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 013588 Michigan

Profile Details

NPI number 1144290487
LBN Legal business name Bastin, Jeffrey Kent
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1144290487 NPPES
Michigan MEDICAID 1487241

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