National Provider Identifier Database

RICHARD D BASHAM, ARNP – NPI #1588921738
Family


Contact Information

RICHARD D BASHAM, ARNP
332 S MAIN ST
LEITCHFIELD, KY42754-1428
Phone: 270-971-1388
Fax: 270-297-7066
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for RICHARD D BASHAM

NPI Number 1588921738
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 04/12/2012
Last updated 04/11/2024 - About 2 years ago
Sole proprietor1 Yes
Identifiers
  • KY License #: 3007397
  • KY Other: 12436388 CAQH
Hospital affiliation n/a

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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