Basham, Severine Mia Clemence
Basham, Severine Mia Clemence is an individual health care provider with primary practice located at 211 E 2Nd St , Libby MT 59923-2047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Basham, Severine Mia Clemence can be contacted via phone (406) 293-8711.Contact Information
Primary practice address
211 E 2Nd St
Libby MT 59923-2047
Phone: (406) 293-8711
Fax: (406) 293-8735
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 34352 | Montana |
Profile Details
| NPI number | 1518144260 |
|---|---|
| LBN Legal business name | Basham, Severine Mia Clemence |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2008 |
| Last updated | Dec 11th, 2014 - about 12 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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