Basiliere, Eric Wayne
Basiliere, Eric Wayne is an individual health care provider with primary practice located at 4520 Intelco Loop Se Bldg 3 , Lacey WA 98503-6008. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Basiliere, Eric Wayne can be contacted via phone (360) 489-0429.Contact Information
Primary practice address
4520 Intelco Loop Se Bldg 3
Lacey WA 98503-6008
Phone: (360) 489-0429
Fax: (360) 972-2526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | NT60812682 | Washington |
Profile Details
| NPI number | 1598270258 |
|---|---|
| LBN Legal business name | Basiliere, Eric Wayne |
| Credentials | ND |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2017 |
| Last updated | Jun 29th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598270258 | NPPES |
| Washington | Other | NT60812682 | NATUROPATHIC PHYSICIAN LICENSE |
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