Basich, John E

Basich, John E is an individual health care provider with primary practice located at 4811 S 76Th St Suite 400, Greenfield WI 53220-4364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Basich, John E can be contacted via phone (414) 281-0404.

Contact Information

Primary practice address
4811 S 76Th St Suite 400 Greenfield WI 53220-4364
Fax: (414) 281-0408
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 21910-3541 Wisconsin

Profile Details

NPI number 1730239393
LBN Legal business name Basich, John E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Mar 27th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730239393 NPPES
Wisconsin MEDICAID 30311400

Popular Providers