Baselli, Edgar C

Baselli, Edgar C is an individual health care provider with primary practice located at 2350 Freedom Way Suite 102, York PA 17402. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Baselli, Edgar C can be contacted via phone (717) 741-9536.

Contact Information

Primary practice address
2350 Freedom Way Suite 102 York PA 17402
Phone: (717) 741-9536
Fax: (717) 741-5509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD068011L Pennsylvania
Allopathic & Osteopathic Physicians / Urology 208800000X MD068011L Pennsylvania

Profile Details

NPI number 1255418885
LBN Legal business name Baselli, Edgar C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jan 12th, 2024 - about 10 months 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 1255418885 NPPES
Pennsylvania Other 02208001 CAPITAL BLUECROSS
Pennsylvania MEDICAID 0018496900004 CAPITAL BLUECROSS
Pennsylvania Other 664700 CAPITAL BLUECROSS

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