Basabe, Angel Rafael

Basabe, Angel Rafael is an sole proprietor health care provider with primary practice located at 313 N Plankinton Ave Ste 207 , Milwaukee WI 53203-3104. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Basabe, Angel Rafael can be contacted via phone (414) 677-0155.

Contact Information

Primary practice address
313 N Plankinton Ave Ste 207 Milwaukee WI 53203-3104
Phone: (414) 677-0155
Fax: (414) 677-0153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2323123 Wisconsin

Profile Details

NPI number 1184664351
LBN Legal business name Basabe, Angel Rafael
Credentials LICENSED CLINICAL SO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Jul 20th, 2022 - about 2 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 1184664351 NPPES
Wisconsin MEDICAID 39539200

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