Basila, Dennis John

Basila, Dennis John is an individual health care provider with primary practice located at 23800 John T Reid Pkwy , Scottsboro AL 35768-2841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Basila, Dennis John can be contacted via phone (256) 999-0808.

Contact Information

Primary practice address
23800 John T Reid Pkwy Scottsboro AL 35768-2841
Phone: (256) 999-0808
Fax: (844) 490-5876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 244921-1 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36720 Alabama

Profile Details

NPI number 1558536979
LBN Legal business name Basila, Dennis John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2008
Last updated Apr 27th, 2018 - about 6 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 1558536979 NPPES
Alabama MEDICAID 212646
Alabama MEDICAID 03171226

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