Search › Indiana › 207V00000X
Jessica Basham, M.D
NPI 1164764890 · on the registry since 2013
Practice
- Address
- 515 N Lafayette Blvd
South Bend, IN 46601 - Phone
- (574) 232-2037
- Fax
- (574) 232-1470
- Organisation at this address
- Allied Physicians Of Michiana, Llc
Houser-Norborg-Macgregor Medical CorpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 27
Additional practice sites
- 3000 Arlington Ave, Toledo, OH
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana