Basich, John J

Basich, John J is an individual health care provider with primary practice located at 1220 Dewey Ave , Wauwatosa WI 53213-2504. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Basich, John J can be contacted via phone (414) 454-6516.

Contact Information

Primary practice address
1220 Dewey Ave Wauwatosa WI 53213-2504
Phone: (414) 454-6516
Fax: (414) 454-6789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13387-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 13387-033 Wisconsin

Profile Details

NPI number 1912618729
LBN Legal business name Basich, John J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2022
Last updated Apr 12th, 2023 - about last year

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 1912618729 NPPES
Wisconsin MEDICAID 100223076

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