Individual
DR. DANIEL G. BASEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 NEELY RD, BREVARD, NC 28712-4267
(828) 883-5620
(828) 884-8801
Mailing address
2234 COLONIAL BLVD., FORT MYERS, FL 33907
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01046
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1168717
GATEWAY HEALTH
FL
01
—
166KA
BLUE CROSS BLUE SHIELD
NC
05
—
5917841
—
NC
01
—
7305554
CIGNA
NC
01
—
9550745
AETNA
NC
Enumeration date
11/08/2007
Last updated
10/27/2016
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