Basko, Grant A

Basko, Grant A is an individual health care provider with primary practice located at 820 W Main St , Riverton WY 82501-3342. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Basko, Grant A can be contacted via phone (307) 857-7074.

Contact Information

Primary practice address
820 W Main St Riverton WY 82501-3342
Phone: (307) 857-7074
Fax: (307) 856-6459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR-763 Wyoming

Profile Details

NPI number 1255666137
LBN Legal business name Basko, Grant A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2009
Last updated Oct 9th, 2009 - about 16 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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