Provider Demographics
NPI:1144894296
Name:BASIC, DENIS (PHD)
Entity type:Individual
Prefix:
First Name:DENIS
Middle Name:
Last Name:BASIC
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:843 HIAWATHA PL S APT 206
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2845
Mailing Address - Country:US
Mailing Address - Phone:206-972-0326
Mailing Address - Fax:206-414-1001
Practice Address - Street 1:843 HIAWATHA PL S APT 206
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2845
Practice Address - Country:US
Practice Address - Phone:206-972-0326
Practice Address - Fax:206-414-1001
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter