Individual
CAROL APPEL-BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
HWY 162 AND BIGGAR LANE, COVELO, CA 95428
(707) 983-6181
Mailing address
PO BOX 247, COVELO, CA 95428-0247
(707) 983-6181
(707) 983-6802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275710006
—
CA
05
—
1730237116
—
CA
Enumeration date
07/29/2008
Last updated
04/05/2011
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