Ike, Basil O

Ike, Basil O is an individual health care provider with primary practice located at 101 The City Dr S , Orange CA 92868-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Ike, Basil O can be contacted via phone (999) 999-9999.

Contact Information

Primary practice address
101 The City Dr S Orange CA 92868-3201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 20A19702 California

Profile Details

NPI number 1114553146
LBN Legal business name Ike, Basil O
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2020
Last updated May 10th, 2026 - about 6 months 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.

Request for update

Popular Providers