Bardan, Bassel

Bardan, Bassel is an individual health care provider with primary practice located at 1216 Ryans Rd , Worthington MN 56187-1722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bardan, Bassel can be contacted via phone (507) 372-2921.

Contact Information

Primary practice address
1216 Ryans Rd Worthington MN 56187-1722
Phone: (507) 372-2921
Fax: (507) 372-5789
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39465 Minnesota

Profile Details

NPI number 1831283456
LBN Legal business name Bardan, Bassel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated May 26th, 2015 - about 11 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 1831283456 NPPES
Minnesota Other 54A03BA BCBS MPIN
Minnesota MEDICAID 539817700 BCBS MPIN
Minnesota Other 370010988 BCBS MPIN
Minnesota MEDICAID 1909333 BCBS MPIN
Minnesota Other 120955 BCBS MPIN

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