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Contact Information

JACOB BASAK, M.D., PHD
12605 E 16TH AVE
AURORA, CO80045
 Phone: 720-848-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JACOB BASAK · (Male)

NPI # 1376957381
Status Active
Credentials M.D., PHD
Entity Individual
Enumeration date 06/17/2014
Last updated 08/27/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CO License # DR.0062061
  • MO License # 2014018054
Hospital affiliation(s)
  • UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT - (Acute Care)
    12605 EAST 16TH AVENUE
    AURORA, CO 80045
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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