Individual
MR. JAMES MICHAEL BASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
1618 COOPER FOSTER PARK RD, LORAIN, OH 44053
(440) 282-4300
(440) 960-5562
Mailing address
409 WILMINGTON DR, BROADVIEW HEIGHTS, OH 44147
(440) 526-4707
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A01207
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000363720
ANTHEM
OH
05
—
0085287
—
OH
01
—
04730
NATIONAL EAR CARE PLAN
OH
01
—
341018435029
CARESOURCE GROUP
OH
Enumeration date
02/02/2006
Last updated
08/14/2007
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