Bassett, Bertrand
Bassett, Bertrand is an individual health care provider with primary practice located at 630 Paseo Del Pueblo Sur Ste 150 , Taos NM 87571-7002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bassett, Bertrand can be contacted via phone (505) 758-3005.Contact Information
Primary practice address
630 Paseo Del Pueblo Sur Ste 150
Taos NM 87571-7002
Phone: (505) 758-3005
Fax: (505) 758-1070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2005-0693 | New Mexico |
Profile Details
| NPI number | 1578564381 |
|---|---|
| LBN Legal business name | Bassett, Bertrand |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Dec 3rd, 2007 - about 18 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 | 1578564381 | NPPES |
| New Mexico | MEDICAID | 34482831 | |
| New Mexico | Other | P00390745 | |
| New Mexico | MEDICAID | 8400731 |
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