Basham, Daniel
Basham, Daniel is an individual health care provider with primary practice located at 1208-Q North Ih-35 , Round Rock TX 78681. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Basham, Daniel can be contacted via phone (512) 310-7665.Contact Information
Primary practice address
1208-Q North Ih-35
Round Rock TX 78681
Phone: (512) 310-7665
Fax: (512) 310-9228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 2060463 | Texas |
Profile Details
| NPI number | 1275735490 |
|---|---|
| LBN Legal business name | Basham, Daniel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1275735490 | NPPES |
| Texas | Other | 0031DG | BLUE CROSS BLUE SHIELD |
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