Bascom, Cheryl Lucy

Bascom, Cheryl Lucy is an individual health care provider with primary practice located at 613 23Rd St Ste. 350, Ashland KY 41101-2878. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Bascom, Cheryl Lucy can be contacted via phone (606) 408-8200.

Contact Information

Primary practice address
613 23Rd St Ste. 350 Ashland KY 41101-2878
Phone: (606) 408-8200
Fax: (606) 408-6291
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 38583 Kentucky

Profile Details

NPI number 1619073319
LBN Legal business name Bascom, Cheryl Lucy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Feb 9th, 2022 - about 3 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 1619073319 NPPES
Kentucky MEDICAID 64093370
Kentucky Other 000000345909
Kentucky MEDICAID 3810028923
Kentucky MEDICAID 2549148

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