Basebang, Salome Mboh

Basebang, Salome Mboh is an sole proprietor health care provider with primary practice located at 629 N Town East Blvd Apt 120 , Mesquite TX 75150-8342. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Basebang, Salome Mboh can be contacted via phone (214) 325-0716.

Contact Information

Primary practice address
629 N Town East Blvd Apt 120 Mesquite TX 75150-8342
Phone: (214) 325-0716
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 825443 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP142942 Texas

Profile Details

NPI number 1346738010
LBN Legal business name Basebang, Salome Mboh
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2018
Last updated Apr 13th, 2020 - about 6 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 1346738010 NPPES
Texas MEDICAID 24331856

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