Basile, Kathleen Ann
Basile, Kathleen Ann is an individual health care provider with primary practice located at 888 Worcester St Suite 130, Wellesley MA 02482-3744. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Basile, Kathleen Ann can be contacted via phone (617) 964-6681.Contact Information
Primary practice address
888 Worcester St Suite 130
Wellesley MA 02482-3744
Phone: (617) 964-6681
Fax: (339) 686-2561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3573 | Massachusetts |
Profile Details
| NPI number | 1861425035 |
|---|---|
| LBN Legal business name | Basile, Kathleen Ann |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Aug 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861425035 | NPPES |
| Massachusetts | MEDICAID | 0356018 | |
| Massachusetts | Other | 410045312 | |
| Massachusetts | Other | W15836 |
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