Basta, James W.
Basta, James W. is an individual health care provider with primary practice located at 1960 Ne 47Th St 2Nd Floor, Ft Lauderdale FL 33308-7708. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Basta, James W. can be contacted via phone (954) 493-5005.Contact Information
Primary practice address
1960 Ne 47Th St 2Nd Floor
Ft Lauderdale FL 33308-7708
Phone: (954) 493-5005
Fax: (954) 938-0957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME0023287 | Florida |
Profile Details
| NPI number | 1942286703 |
|---|---|
| LBN Legal business name | Basta, James W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1942286703 | NPPES |
| Florida | Other | 79173 | BLUE CROSS BLUE SHIELD |
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