Bascom, Paul Benjamin

Bascom, Paul Benjamin is an sole proprietor health care provider with primary practice located at 94220 4Th St , Gold Beach OR 97444-7756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Bascom, Paul Benjamin can be contacted via phone (702) 453-3799.

Contact Information

Primary practice address
94220 4Th St Gold Beach OR 97444-7756
Phone: (702) 453-3799
Fax: (702) 453-5741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X G061983 Oregon

Profile Details

NPI number 1689680134
LBN Legal business name Bascom, Paul Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Aug 9th, 2023 - about 2 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 1689680134 NPPES
Oregon MEDICAID 040563

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