Basala, Philip Anthony

Basala, Philip Anthony is an sole proprietor health care provider with primary practice located at Potomac Valley Hospital 100 Pin Oak Lane, Keyser WV 26726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, which is considered as his primary health care specialty. Basala, Philip Anthony can be contacted via phone (304) 597-3510.

Contact Information

Primary practice address
Potomac Valley Hospital 100 Pin Oak Lane Keyser WV 26726
Fax: (304) 597-3513
Website:

Profile Details

NPI number 1558376137
LBN Legal business name Basala, Philip Anthony
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2006
Last updated Apr 4th, 2024 - about last year

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 1558376137 NPPES
Pennsylvania MEDICAID 0012925630006

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