Basista, Michael John
Basista, Michael John is an sole proprietor health care provider with primary practice located at 2454 Winkler Ave. , Fort Myers FL 33901-9266. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Basista, Michael John can be contacted via phone (239) 936-3866.Contact Information
Primary practice address
2454 Winkler Ave.
Fort Myers FL 33901-9266
Phone: (239) 936-3866
Fax: (239) 939-5098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN6721 | Florida |
Profile Details
| NPI number | 1780944629 |
|---|---|
| LBN Legal business name | Basista, Michael John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2012 |
| Last updated | May 25th, 2012 - about 14 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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