Assaf, Bassam A

Assaf, Bassam A is an sole proprietor health care provider with primary practice located at 4370 7Th St , Moline IL 61265-6867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Assaf, Bassam A can be contacted via phone (309) 517-6891.

Contact Information

Primary practice address
4370 7Th St Moline IL 61265-6867
Phone: (309) 517-6891
Fax: (309) 517-6895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036085765 Illinois

Profile Details

NPI number 1225009426
LBN Legal business name Assaf, Bassam A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Jun 15th, 2017 - about 7 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 1225009426 NPPES
Illinois Other 08132080 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036085765 BLUE CROSS BLUE SHIELD

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