Basher, Abul W

Basher, Abul W is an individual health care provider with primary practice located at 3500 Franciscan Way Ste 400 , Michigan City IN 46360-0033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Basher, Abul W can be contacted via phone (219) 878-8200.

Contact Information

Primary practice address
3500 Franciscan Way Ste 400 Michigan City IN 46360-0033
Fax: (219) 878-8331
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01054232A Indiana

Profile Details

NPI number 1891784500
LBN Legal business name Basher, Abul W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jun 20th, 2024 - about 5 months 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 1891784500 NPPES
Indiana Other 000000612804 ANTHEM, BCBS
Indiana MEDICAID 200334010 ANTHEM, BCBS

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