Basse, Leslie Reene

Basse, Leslie Reene is an individual health care provider with primary practice located at 209 S 7Th St , Worland WY 82401-3307. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Basse, Leslie Reene can be contacted via phone (307) 347-2544.

Contact Information

Primary practice address
209 S 7Th St Worland WY 82401-3307
Phone: (307) 347-2544
Fax: (307) 347-2352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 876 Wyoming

Profile Details

NPI number 1780700203
LBN Legal business name Basse, Leslie Reene
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 9th, 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 1780700203 NPPES
Wyoming Other 301685 BLUE CROSS BLUE SHIELD

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