Basista, Michael H
Basista, Michael H is an individual health care provider with primary practice located at 5700 Monroe St Unit 103 , Sylvania OH 43560-2771. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Basista, Michael H can be contacted via phone (419) 843-7996.Contact Information
Primary practice address
5700 Monroe St Unit 103
Sylvania OH 43560-2771
Phone: (419) 843-7996
Fax: (419) 841-7725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35052150B | Ohio |
Profile Details
| NPI number | 1548257876 |
|---|---|
| LBN Legal business name | Basista, Michael H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Nov 3rd, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548257876 | NPPES |
| Ohio | MEDICAID | 0816040 | |
| Ohio | MEDICAID | 4796124 | |
| Ohio | Other | 4290317 | |
| Ohio | Other | 000000581398 | |
| Ohio | MEDICAID | 4632355 | |
| Ohio | Other | 01309 | |
| Ohio | MEDICAID | 4796142 | |
| Ohio | Other | P00659818 |
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