Basham, Brian E.

Basham, Brian E. is an individual health care provider with primary practice located at 4016 Main St , Cassville MO 65625-9753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Basham, Brian E. can be contacted via phone (417) 847-0057.

Contact Information

Primary practice address
4016 Main St Cassville MO 65625-9753
Phone: (417) 847-0057
Fax: (417) 847-0079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R7P13 Missouri

Profile Details

NPI number 1376617274
LBN Legal business name Basham, Brian E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Mar 6th, 2012 - about 14 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 1376617274 NPPES
Missouri MEDICAID 203173505

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