Basista, Robert L

Basista, Robert L is an individual health care provider with primary practice located at 2600 6Th St Sw Radiology Associates Of Canton, Inc., Canton OH 44710-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Basista, Robert L can be contacted via phone (330) 363-2842.

Contact Information

Primary practice address
2600 6Th St Sw Radiology Associates Of Canton, Inc. Canton OH 44710-1702
Phone: (330) 363-2842
Fax: (330) 580-5536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35 040882 Ohio

Profile Details

NPI number 1699766428
LBN Legal business name Basista, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2005
Last updated Jan 4th, 2011 - about 13 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 1699766428 NPPES
Ohio MEDICAID 0432802
Ohio Other 300083227

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