Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 01045472A | IN |
NPI | 1154345775 |
---|---|
Provider Name | Dr. Cindy Maiden Basinski |
First Address | Evansville, IN 47706-1165 |
Second Address | Newburgh, IN 47630-8965 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G96459 | (02) | IN |