Provider Demographics
NPI:1174848477
Name:BASELINE FINANCIAL MANAGEMENT GROUP CORP
Entity Type:Organization
Organization Name:BASELINE FINANCIAL MANAGEMENT GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASSET
Authorized Official - Middle Name:
Authorized Official - Last Name:YESMURATOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-548-1555
Mailing Address - Street 1:7217 LOCKPORT PL
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079
Mailing Address - Country:US
Mailing Address - Phone:703-548-1555
Mailing Address - Fax:
Practice Address - Street 1:7217 LOCKPORT PL
Practice Address - Street 2:SUITE 102
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079
Practice Address - Country:US
Practice Address - Phone:703-548-1555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty