Valerie Baskerville
Primary Podiatric Medicine
3310 W Big Beaver Rd Suite 137
Troy
, Michigan 48084-2809
Valerie Baskerville
Primary Podiatric Medicine
3310 W Big Beaver Rd Suite 137
Troy
, Michigan 48084-2809
(248) 712-4214
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Valerie Baskerville
- 21650 W 11 Mile Rd Ste 202
- Southfield, MI
- Zip : 48076-3777
- Fax : (248) 712-4214
- Phone : (248) 792-5200
Second Address
- Valerie Baskerville
- 3310 W Big Beaver Rd Suite 137
- Troy, MI
- Zip : 48084-2809
- Fax : (248) 712-4214
- Phone : (248) 792-5200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 5901001685 | MI |
National Provider Identifier
| NPI | 1518087204 |
|---|---|
| Provider Name | Valerie Baskerville |
| First Address | Southfield, MI 48076-3777 |
| Second Address | Troy, MI 48084-2809 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2007 |
| Last Update Date | 21/03/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0H21400 | BCBSM (01) | |
| 3217423 | (05) | MI |
| U59385 | (02) | MI |
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.