Atassi, Bassem

Atassi, Bassem is an individual health care provider with primary practice located at 206 E 86Th Pl , Merrillville IN 46410-6258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Atassi, Bassem can be contacted via phone (219) 738-2722.

Contact Information

Primary practice address
206 E 86Th Pl Merrillville IN 46410-6258
Phone: (219) 738-2722
Fax: (219) 736-7820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036047780 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X 01026618A Indiana

Profile Details

NPI number 1073596706
LBN Legal business name Atassi, Bassem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073596706 NPPES
Indiana MEDICAID 100168350A
Indiana Other 341664075
Indiana Other 000000095415
Indiana Other 036047780
Indiana Other 0091108086

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