Basak, Madhuri

Basak, Madhuri is an individual health care provider with primary practice located at 4325 Grand Ave , Duluth MN 55807-2730. She recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Basak, Madhuri can be contacted via phone (218) 722-1497.

Contact Information

Primary practice address
4325 Grand Ave Duluth MN 55807-2730
Phone: (218) 722-1497
Fax: (218) 727-8646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X 12964 Minnesota

Profile Details

NPI number 1023128477
LBN Legal business name Basak, Madhuri
Credentials Registered Nurse Certified (RNC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1023128477 NPPES
Minnesota Other 12964 LICENSE

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