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Contact Information

ROGER BASILETTI, PA
875 8TH ST NE
MASSILLON, OH44646-8503
 Phone: 330-493-4443
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ROGER BASILETTI · (Male)

NPI # 1720128614
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/08/2007
Last updated 05/15/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 50.000363
Hospital affiliation(s) Not Available
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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