Basile, Michael Wayne
Basile, Michael Wayne is an individual health care provider with primary practice located at 3921 I 49 S Service Rd , Opelousas LA 70570-0758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Basile, Michael Wayne can be contacted via phone (337) 942-5706.Contact Information
Primary practice address
3921 I 49 S Service Rd
Opelousas LA 70570-0758
Phone: (337) 942-5706
Fax: (337) 942-2644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14706 | Louisiana |
Profile Details
| NPI number | 1013986728 |
|---|---|
| LBN Legal business name | Basile, Michael Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1013986728 | NPPES |
| Louisiana | MEDICAID | 1313874 |
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