Basal, John
Basal, John is an individual health care provider with primary practice located at 780 Albany Shaker Rd , Albany NY 12211-1055. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Basal, John can be contacted via phone (518) 869-2231.Contact Information
Primary practice address
780 Albany Shaker Rd
Albany NY 12211-1055
Phone: (518) 869-2231
Fax: (518) 869-1713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 06871-1 | New York |
Profile Details
| NPI number | 1043256480 |
|---|---|
| LBN Legal business name | Basal, John |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1043256480 | NPPES |
| New York | MEDICAID | 00737393 |
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