Basile, Richard D.

Basile, Richard D. is an individual health care provider with primary practice located at 14555 W National Ave Suite 170, New Berlin WI 53151-4494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Basile, Richard D. can be contacted via phone (262) 827-3636.

Contact Information

Primary practice address
14555 W National Ave Suite 170 New Berlin WI 53151-4494
Phone: (262) 827-3636
Fax: (262) 827-3626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36664 Wisconsin

Profile Details

NPI number 1962495978
LBN Legal business name Basile, Richard D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Nov 22nd, 2021 - about 3 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 1962495978 NPPES
Wisconsin Other P00627724 RR MEDICARE
Wisconsin MEDICAID 32134200 RR MEDICARE

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