Jack B Basil
Gynecologic Oncologist
3219 Clifton Ave Suite 100
Cincinnati
, Ohio 45220-3027
Jack B Basil
Gynecologic Oncologist
3219 Clifton Ave Suite 100
Cincinnati
, Ohio 45220-3027
(513) 891-1006
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Jack B Basil
- Po Box 635063
- Cincinnati, OH
- Zip : 45263-0001
- Phone : (513) 891-1006
Second Address
- Jack B Basil
- 3219 Clifton Ave Suite 100
- Cincinnati, OH
- Zip : 45220-3027
- Fax : (513) 862-3616
- Phone : (513) 862-1888
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FAQs
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What type of doctor is Jack B Basil
In what state does Jack B Basil practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | 35084002 | OH |
National Provider Identifier
| NPI | 1073505525 |
|---|---|
| Provider Name | Jack B Basil |
| First Address | Cincinnati, OH 45263-0001 |
| Second Address | Cincinnati, OH 45220-3027 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2005 |
| Last Update Date | 17/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200215750 | (05) | IN |
| 2473256 | (05) | OH |
| 64083140 | (05) | KY |
| H14595 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.