Brikho, Basel
Brikho, Basel is an sole proprietor health care provider with primary practice located at 18211 W 12 Mile Rd , Lathrup Village MI 48076. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Brikho, Basel can be contacted via phone (248) 557-4443.Contact Information
Primary practice address
18211 W 12 Mile Rd
Lathrup Village MI 48076
Phone: (248) 557-4443
Fax: (248) 557-0573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301061420 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301061420 | Michigan |
Profile Details
| NPI number | 1285721514 |
|---|---|
| LBN Legal business name | Brikho, Basel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 6th, 2017 - about 9 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 | 1285721514 | NPPES |
| Michigan | Other | BB061420 | LICENSE |
| Michigan | MEDICAID | 4092397 | LICENSE |
| Michigan | Other | 383461699 | LICENSE |
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