Basilio, Florida Selga

Basilio, Florida Selga is an individual health care provider with primary practice located at 1519 13Th Ave , Columbus GA 31901-1908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Basilio, Florida Selga can be contacted via phone (706) 576-5570.

Contact Information

Primary practice address
1519 13Th Ave Columbus GA 31901-1908
Phone: (706) 576-5570
Fax: (706) 576-4049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 028720 Georgia

Profile Details

NPI number 1861527103
LBN Legal business name Basilio, Florida Selga
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Aug 13th, 2014 - about 10 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 1861527103 NPPES
Georgia Other 306087 WELLCARE
Georgia Other 52236043 WELLCARE
Georgia MEDICAID 000327137E WELLCARE
Georgia Other 000327137E WELLCARE
Georgia Other 60024312 WELLCARE

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