Basist, Roberta Ainslie
Basist, Roberta Ainslie is an individual health care provider with primary practice located at 1930 Myrtle Ave , Eureka CA 95501-1406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Basist, Roberta Ainslie can be contacted via phone (707) 443-3557.Contact Information
Primary practice address
1930 Myrtle Ave
Eureka CA 95501-1406
Phone: (707) 443-3557
Fax: (707) 443-3971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 247314 | California |
Profile Details
| NPI number | 1750338802 |
|---|---|
| LBN Legal business name | Basist, Roberta Ainslie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Mar 22nd, 2010 - about 14 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 | 1750338802 | NPPES |
| California | MEDICAID | 00G654330 |
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