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
Phone: (304) 597-3510
Fax: (304) 597-3513
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | H0099654 | Maryland |
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 1245 | West Virginia |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558376137 | NPPES |
Pennsylvania | MEDICAID | 0012925630006 |
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