Bassett, Jenifer I

Bassett, Jenifer I is an sole proprietor health care provider with primary practice located at 3802 Oakwood Mall Dr , Eau Claire WI 54701-3016. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bassett, Jenifer I can be contacted via phone (715) 839-9280.

Contact Information

Primary practice address
3802 Oakwood Mall Dr Eau Claire WI 54701-3016
Phone: (715) 839-9280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 45876 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45876 Wisconsin

Profile Details

NPI number 1376503615
LBN Legal business name Bassett, Jenifer I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Mar 11th, 2022 - 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 1376503615 NPPES
Wisconsin MEDICAID 34401300

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