BRENT A BASILE

Dr BRENT A BASILE is a male medical professional, specializing in Clinical Social Worker. He graduated in 2000.

Contact

20325 CTR RIDGE RD
SUITE 628
ROCKY RIVER
OH
441163554

Tel: 4403315570

BRENT A BASILE Information

Npi 1447378443
Pac Id 4981793528
Professional Enrollment Id I20071204000486
Last Name BASILE
First Name BRENT
Middle Name A
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2000
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 20325 CTR RIDGE RD
Line 2 Street Address SUITE 628
Marker Of Address Line 2 Suppression
City ROCKY RIVER
State OH
Zip Code 441163554
Phone Number 4403315570
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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