Baskin, Jaela Mone'A

Baskin, Jaela Mone'A is an individual health care provider with primary practice located at 9746 Bruddy Dr , Fishers IN 46038-8347. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Baskin, Jaela Mone'A can be contacted via phone (317) 914-2124.

Contact Information

Primary practice address
9746 Bruddy Dr Fishers IN 46038-8347
Phone: (317) 914-2124
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1871058214
LBN Legal business name Baskin, Jaela Mone'A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2019
Last updated Mar 29th, 2019 - about 5 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 1871058214 NPPES
Other KROAN1807606 ANTHEM BLUE CROSS BLUE SHIELD

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