Bashaw, James Marty

Bashaw, James Marty is an sole proprietor health care provider with primary practice located at 35907 E County Road 1600 , Pauls Valley OK 73075-9070. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bashaw, James Marty can be contacted via phone (877) 803-7306.

Contact Information

Primary practice address
35907 E County Road 1600 Pauls Valley OK 73075-9070
Phone: (877) 803-7306
Fax: (281) 605-5792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0075945 Oklahoma

Profile Details

NPI number 1649353533
LBN Legal business name Bashaw, James Marty
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jun 21st, 2011 - about 13 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 1649353533 NPPES
Oklahoma MEDICAID 100847130A

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