Edris, Basel

Edris, Basel is an sole proprietor health care provider with primary practice located at 613 23Rd St Ste 230 , Ashland KY 41101-2868. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Edris, Basel can be contacted via phone (606) 324-4745.

Contact Information

Primary practice address
613 23Rd St Ste 230 Ashland KY 41101-2868
Phone: (606) 324-4745
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 46448 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 46448 Kentucky
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 46448 Kentucky

Profile Details

NPI number 1629381116
LBN Legal business name Edris, Basel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2010
Last updated Aug 2nd, 2022 - about 4 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 1629381116 NPPES
Kentucky MEDICAID 7100251970

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