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
Phone: (301) 948-5700
Fax: (301) 212-4277
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437120102 | NPPES |
| Maryland | MEDICAID | 309761700 |
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