Basista, Maryann
Basista, Maryann is an sole proprietor health care provider with primary practice located at 1315 Butterfield Rd Suite 220, Downers Grove IL 60515-5602. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Basista, Maryann can be contacted via phone (630) 788-8040.Contact Information
Primary practice address
1315 Butterfield Rd Suite 220
Downers Grove IL 60515-5602
Phone: (630) 788-8040
Fax: (630) 424-0425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 149 006503 | Illinois |
Profile Details
| NPI number | 1902914476 |
|---|---|
| LBN Legal business name | Basista, Maryann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2006 |
| Last updated | Jun 22nd, 2013 - about 11 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 | 1902914476 | NPPES |
| Maryland | Other | 813202000 | MAGELLAN |
| Maryland | Other | 2167954 | MAGELLAN |
| Maryland | Other | 7851779 | MAGELLAN |
| Maryland | Other | 9426416 | MAGELLAN |
| Maryland | Other | 183695 | MAGELLAN |
| Maryland | Other | 11713175 | MAGELLAN |
| Maryland | Other | 506974809 | MAGELLAN |
| Maryland | Other | 2221790 | MAGELLAN |
| Maryland | Other | 2567375 | MAGELLAN |
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