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Contact Information

CAROL APPEL BASHAM, PA
HWY 162 AND BIGGAR LANE
COVELO, CA95428
 Phone: 707-983-6181
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CAROL APPEL BASHAM · (Female)

NPI # 1033375191
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/29/2008
Last updated 04/05/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA11245
  • CA Medicaid 1275710006
  • CA Medicaid 1730237116
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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