Provider Demographics
NPI:1255766655
Name:BASINGER, SHAWN CHRISTOPHER (DVM)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:CHRISTOPHER
Last Name:BASINGER
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1ST SPECIAL FORCES GROUP
Mailing Address - Street 2:BOX 339502
Mailing Address - City:JOINT BASE LEWIS-MCCHORD
Mailing Address - State:WA
Mailing Address - Zip Code:98433-9500
Mailing Address - Country:US
Mailing Address - Phone:253-477-3401
Mailing Address - Fax:
Practice Address - Street 1:1ST SPECIAL FORCES GROUP
Practice Address - Street 2:BOX 339502
Practice Address - City:JOINT BASE LEWIS-MCCHORD
Practice Address - State:WA
Practice Address - Zip Code:98433-9500
Practice Address - Country:US
Practice Address - Phone:253-477-3401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COVET.0007688174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian