Basen, Walter B

Basen, Walter B is an individual health care provider with primary practice located at 20410 Observation Dr Suite 104, Germantown MD 20876-4000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Basen, Walter B can be contacted via phone (301) 948-5700.

Contact Information

Primary practice address
20410 Observation Dr Suite 104 Germantown MD 20876-4000
Fax: (301) 212-4277
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D18518 Maryland

Profile Details

NPI number 1437120102
LBN Legal business name Basen, Walter B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 7th, 2009 - about 15 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 1437120102 NPPES
Maryland MEDICAID 309761700

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