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
Health care specialties
| Specialty | Code | License # | 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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