Bassett, Jeffrey L
Bassett, Jeffrey L is an sole proprietor health care provider with primary practice located at 108 S Townline Rd , Lagrange IN 46761-1740. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bassett, Jeffrey L can be contacted via phone (260) 463-3652.Contact Information
Primary practice address
108 S Townline Rd
Lagrange IN 46761-1740
Phone: (260) 463-3652
Fax: (260) 463-7096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12008295 | Indiana |
Profile Details
| NPI number | 1285701219 |
|---|---|
| LBN Legal business name | Bassett, Jeffrey L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Dec 22nd, 2016 - about 9 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 | 1285701219 | NPPES |
| Indiana | MEDICAID | 100159740-A |
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