Basta, Jean Denise

Basta, Jean Denise is an individual health care provider with primary practice located at 2301 House Ave Suite 505, Cheyenne WY 82001-3179. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Basta, Jean Denise can be contacted via phone (307) 632-9261.

Contact Information

Primary practice address
2301 House Ave Suite 505 Cheyenne WY 82001-3179
Phone: (307) 632-9261
Fax: (307) 634-9170
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 6885A Wyoming

Profile Details

NPI number 1104811504
LBN Legal business name Basta, Jean Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Oct 29th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104811504 NPPES
Wyoming MEDICAID 118705800
Wyoming Other P00061023
Wyoming Other 82001A004
Wyoming Other 0726680001
Wyoming Other 312232

Popular Providers