Provider Demographics
NPI:1326004383
Name:BASKETT, JOHN P (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:BASKETT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 SAINT JOHNS AVE
Mailing Address - Street 2:
Mailing Address - City:PALATKA
Mailing Address - State:FL
Mailing Address - Zip Code:32177-3902
Mailing Address - Country:US
Mailing Address - Phone:386-325-8305
Mailing Address - Fax:386-325-8304
Practice Address - Street 1:3800 SAINT JOHNS AVE
Practice Address - Street 2:
Practice Address - City:PALATKA
Practice Address - State:FL
Practice Address - Zip Code:32177-3902
Practice Address - Country:US
Practice Address - Phone:386-325-8305
Practice Address - Fax:386-325-8304
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006575111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22888OtherBLUE CROSS BLUE SHILED
FL350053060OtherRAILROAD MEDICARE
FL350053060OtherRAILROAD MEDICARE
FL55320Medicare PIN