Bashaw, Thomas Luke

Bashaw, Thomas Luke is an sole proprietor health care provider with primary practice located at 710 Dodge Ave Nw Suite B, Elk River MN 55330-2019. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bashaw, Thomas Luke can be contacted via phone (763) 441-3922.

Contact Information

Primary practice address
710 Dodge Ave Nw Suite B Elk River MN 55330-2019
Phone: (763) 441-3922
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D09824 Minnesota

Profile Details

NPI number 1922065416
LBN Legal business name Bashaw, Thomas Luke
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Aug 19th, 2014 - about 10 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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