Bassett, Blake

Bassett, Blake is an sole proprietor health care provider with primary practice located at Naval Air Station North Island 28-64 S R Ave, Coronado CA 92118. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bassett, Blake can be contacted via phone (619) 545-6210.

Contact Information

Primary practice address
Naval Air Station North Island 28-64 S R Ave Coronado CA 92118
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0102207484 Virginia

Profile Details

NPI number 1225617657
LBN Legal business name Bassett, Blake
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2021
Last updated Apr 14th, 2023 - about 3 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 1225617657 NPPES
Other 1 N/A

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