Atassi, Bassem
Atassi, Bassem is an individual health care provider with primary practice located at 206 E 86Th Pl , Merrillville IN 46410-6258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Atassi, Bassem can be contacted via phone (219) 738-2722.Contact Information
Primary practice address
206 E 86Th Pl
Merrillville IN 46410-6258
Phone: (219) 738-2722
Fax: (219) 736-7820
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 036047780 | Illinois |
Allopathic & Osteopathic Physicians / Urology | 208800000X | 01026618A | Indiana |
Profile Details
NPI number | 1073596706 |
---|---|
LBN Legal business name | Atassi, Bassem |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 28th, 2005 |
Last updated | Mar 17th, 2018 - about 6 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 | 1073596706 | NPPES |
Indiana | MEDICAID | 100168350A | |
Indiana | Other | 341664075 | |
Indiana | Other | 000000095415 | |
Indiana | Other | 036047780 | |
Indiana | Other | 0091108086 |
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