Bassey, Edet Okon
Bassey, Edet Okon is an sole proprietor health care provider with primary practice located at 1041 Talbotton Rd , Columbus GA 31904-8745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bassey, Edet Okon can be contacted via phone (706) 660-8825.Contact Information
Primary practice address
1041 Talbotton Rd
Columbus GA 31904-8745
Phone: (706) 660-8825
Fax: (706) 660-8897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 044408 | Georgia |
Profile Details
| NPI number | 1336123181 |
|---|---|
| LBN Legal business name | Bassey, Edet Okon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Jan 12th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336123181 | NPPES |
| Georgia | MEDICAID | 00807881C |
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