Organization Name: | BASELINE FINANCIAL MANAGEMENT GROUP CORP |
NPI Number: | 1174848477 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ASSET YESMURATOV (OWNER) |
Mailing Address: | 7217 Lockport Pl Suite 102 Lorton |
State: | VA US |
Postal Code: | 22079 |
Phone Number: | 7035481555 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2010 |
NPI Last Update Date: | 03/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |