Provider Demographics
NPI:1447279583
Name:BASKWILL, DAVID FOSTER (DPM)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:FOSTER
Last Name:BASKWILL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MONUMENT ROAD
Mailing Address - Street 2:APPLE HILL PODIATRY ASSOC SUITE 130
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403
Mailing Address - Country:US
Mailing Address - Phone:717-741-9055
Mailing Address - Fax:717-741-5762
Practice Address - Street 1:25 MONUMENT ROAD
Practice Address - Street 2:APPLE HILL PODIATRY ASSOC SUITE 130
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403
Practice Address - Country:US
Practice Address - Phone:717-741-9055
Practice Address - Fax:717-741-5762
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002821L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
01605801OtherCAPITOL BLUE CROSS
T29375Medicare UPIN
BA128593Medicare ID - Type Unspecified