Bassal, Aly A.
Bassal, Aly A. is an sole proprietor health care provider with primary practice located at 1000 W G St Suite 104, Elizabethton TN 37643-2959. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bassal, Aly A. can be contacted via phone (423) 543-4616.Contact Information
Primary practice address
1000 W G St Suite 104
Elizabethton TN 37643-2959
Phone: (423) 543-4616
Fax: (423) 543-7771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD0000013983 | Tennessee |
Profile Details
| NPI number | 1275530560 |
|---|---|
| LBN Legal business name | Bassal, Aly A. |
| Credentials | M.D., F.I.C.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Oct 5th, 2012 - about 13 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 | 1275530560 | NPPES |
| Tennessee | MEDICAID | 3191532 |
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