Basile, Phanel

Basile, Phanel is an individual health care provider with primary practice located at 1800 Combs Rd , Pennington Gap VA 24277-1808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Basile, Phanel can be contacted via phone (276) 546-1440.

Contact Information

Primary practice address
1800 Combs Rd Pennington Gap VA 24277-1808
Phone: (276) 546-1440
Fax: (865) 291-3228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101035989 Virginia

Profile Details

NPI number 1750310561
LBN Legal business name Basile, Phanel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Nov 6th, 2007 - about 19 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 1750310561 NPPES
Tennessee Other 0125442 BC BS
Tennessee MEDICAID 1750310561 BC BS
Tennessee Other P00209168 BC BS
Tennessee MEDICAID 3050025 BC BS
Tennessee MEDICAID 64796055 BC BS

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