Basinger, Bradley
Basinger, Bradley is an individual health care provider with primary practice located at 2 W Fern Ave , Redlands CA 92373-5916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Basinger, Bradley can be contacted via phone (909) 793-3311.Contact Information
Primary practice address
2 W Fern Ave
Redlands CA 92373-5916
Phone: (909) 793-3311
Fax: (909) 796-4158
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | G68890 | California |
Profile Details
NPI number | 1023053592 |
---|---|
LBN Legal business name | Basinger, Bradley |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2006 |
Last updated | Apr 6th, 2015 - about 9 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 | 1023053592 | NPPES |
California | MEDICAID | 00G688900 |
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