Basilico, Leopoldo Mario

Basilico, Leopoldo Mario is an sole proprietor health care provider with primary practice located at 1224 Trotwood Ave , Columbia TN 38401-4802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Basilico, Leopoldo Mario can be contacted via phone (931) 381-1111.

Contact Information

Primary practice address
1224 Trotwood Ave Columbia TN 38401-4802
Phone: (931) 381-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125058563 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036131046 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 50850 Tennessee

Profile Details

NPI number 1538480603
LBN Legal business name Basilico, Leopoldo Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2010
Last updated Feb 11th, 2022 - about 2 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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