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Contact Information

CHRISTIAN BASQUE, MD
46 BARRA RD STE 103
BIDDEFORD, ME04005-9461
 Phone: 207-283-1126
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHRISTIAN BASQUE · (Male)

NPI Number 1366731648
Status Active
Credentials MD
Entity Individual
Enumeration date 04/07/2011
Last updated 01/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ME License # MD21013
  • PA License # MD453023
  • PA Other 597586 TPI GROUP MEDICARE
  • PA Other 100727800 TPI GROUP PA MAID
  • PA Other CD4829 TPI GROUP RAILROAD MEDICARE
Hospital affiliation(s)
  • SOUTHERN MAINE MEDICAL CENTER - (Acute Care)
    1 MEDICAL CENTER DRIVE
    BIDDEFORD, ME 04005
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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