NPI 1366731648 · live from the CMS NPI Registry
Christian Basque, M.D.
Family Medicine, Sports Medicine in Biddeford, ME. National Provider Identifier 1366731648, active.
NPI record
| NPI | 1366731648 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Sports Medicine 207QS0010X |
| Practice location | 46 Barra Rd Ste 103, Biddeford, ME 04005 |
| Practice phone | 207-283-1126 |
| Mailing address | Po Box 820933, Philadelphia, PA 19182 |
| Enumerated | April 7, 2011 |
| Last updated | January 23, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | MD453023 (PA) |
| Internal Medicine, Sports Medicine | 207RS0010X | MD21013 (ME) |
| Family Medicine, Sports Medicine primary | 207QS0010X | MD21013 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.