Basham, Christopher M

Basham, Christopher M is an individual health care provider with primary practice located at 323 Cloverleaf Sq #1, Big Stone Gap VA 24219-2760. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Basham, Christopher M can be contacted via phone (276) 523-6715.

Contact Information

Primary practice address
323 Cloverleaf Sq #1 Big Stone Gap VA 24219-2760
Phone: (276) 523-6715
Fax: (276) 523-6719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101230202 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101230202 Virginia

Profile Details

NPI number 1831160530
LBN Legal business name Basham, Christopher M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Sep 20th, 2019 - about 5 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 1831160530 NPPES
Kentucky MEDICAID 64047533
Kentucky MEDICAID 005601487

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