Bassel, John B

Bassel, John B is an sole proprietor health care provider with primary practice located at 282 Clear Sky Ct , Clarksville TN 37043-5653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bassel, John B can be contacted via phone (931) 647-1199.

Contact Information

Primary practice address
282 Clear Sky Ct Clarksville TN 37043-5653
Phone: (931) 647-1199
Fax: (931) 647-7010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD6465 Tennessee

Profile Details

NPI number 1346235629
LBN Legal business name Bassel, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2005
Last updated Aug 11th, 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 1346235629 NPPES
Tennessee Other 103I118651 MEDICARE PTAN
Tennessee MEDICAID 3806531 MEDICARE PTAN
Tennessee Other 187409 MEDICARE PTAN

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