Basham, Matthew Clark

Basham, Matthew Clark is an individual health care provider with primary practice located at 833 Chestnut St # 1035 , Philadelphia PA 19107-4414. He recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as his primary health care specialty. Basham, Matthew Clark can be contacted via phone (888) 816-3862.

Contact Information

Primary practice address
833 Chestnut St # 1035 Philadelphia PA 19107-4414
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X 2002022 Arizona

Profile Details

NPI number 1083742787
LBN Legal business name Basham, Matthew Clark
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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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