Basole, Charulata
Basole, Charulata is an individual health care provider with primary practice located at 2403 Village Green Pl , Champaign IL 61822-7676. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Basole, Charulata can be contacted via phone (217) 326-2911.Contact Information
Primary practice address
2403 Village Green Pl
Champaign IL 61822-7676
Phone: (217) 326-2911
Fax: (217) 344-8047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Illinois |
Profile Details
| NPI number | 1144346941 |
|---|---|
| LBN Legal business name | Basole, Charulata |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1144346941 | NPPES |
| Illinois | Other | 4117 | HAMP PROVIDER ID |
| Illinois | Other | 7216 | HAMP PROVIDER ID |
| Illinois | Other | 113326 | HAMP PROVIDER ID |
| Illinois | Other | 203 | HAMP PROVIDER ID |
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