NPI Search for Physicians and Health Care Providers
CARLA A. BASTER D.O.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1831261015
Individual Registrant:
CARLA A. BASTER D.O.
Gender: F
Sole Proprietor
Location and contact information for practice:
29 MINNEWAWA DR TIMBERLAKE, OH 44095-1928 US
Tel: 440-479-1669 Fax: --
Contact information for business:
29 MINNEWAWA DR TIMBERLAKE, OH 44095-1928 US
Tel: 440-479-1669 Fax: --
Registration Information:
NPI: 1831261015
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine
| OH | 34003592 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
LICENSE | 343003592 | OH | 01 |
| 0729733 | OH | 05 |
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