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Contact Information

ELIZABETH D BASHAM, MS, RD
3806 CANEY CREEK RD
AUSTIN, TX78732-2246
 Phone: 808-859-4788
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for ELIZABETH D BASHAM · (Female)

NPI # 1295139327
Status Active
Credentials MS, RD
Entity Individual
Enumeration date 10/17/2014
Last updated 08/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IA License # 953628
  • IL License # 164.010140
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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