Provider Demographics
NPI:1649655762
Name:ABUID, BASIL (DC)
Entity type:Individual
Prefix:
First Name:BASIL
Middle Name:
Last Name:ABUID
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 RIVERSIDE DR
Mailing Address - Street 2:STE 105
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-5454
Mailing Address - Country:US
Mailing Address - Phone:360-424-6104
Mailing Address - Fax:360-424-6009
Practice Address - Street 1:2118 RIVERSIDE DR
Practice Address - Street 2:STE 105
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-5454
Practice Address - Country:US
Practice Address - Phone:360-424-6104
Practice Address - Fax:360-424-6009
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA60562639111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic