Individual
DALLAS SCOTT BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
350 THOMAS MORE PKWY, SUITE 160, CRESTVIEW HILLS, KY 41017-5465
(513) 221-1100
(513) 569-5297
Mailing address
PO BOX 643398, CINCINNATI, OH 45264-3398
(513) 221-1100
(513) 569-5297
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1097793
KY
163W00000X
Registered Nurse
RN.178465-1
OH
363L00000X
Nurse Practitioner
Primary
3003742
KY
363L00000X
Nurse Practitioner
COA.06624-NP
OH
363LA2100X
Acute Care Nurse Practitioner
3003742
KY
363LA2100X
Acute Care Nurse Practitioner
COA.06624-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2328734
—
OH
Enumeration date
07/07/2006
Last updated
03/21/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us