Basham, Jordan Elisabeth

Basham, Jordan Elisabeth is an individual health care provider with primary practice located at 400 N Pepper Ave , Colton CA 92324-1801. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Basham, Jordan Elisabeth can be contacted via phone (855) 422-8029.

Contact Information

Primary practice address
400 N Pepper Ave Colton CA 92324-1801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A156671 California
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X A156671 California

Profile Details

NPI number 1871940981
LBN Legal business name Basham, Jordan Elisabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2016
Last updated Dec 26th, 2025 - about last year

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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