Bassett, Mark Andrew

Bassett, Mark Andrew is an individual health care provider with primary practice located at 53316 Van Dyke Ave , Shelby Township MI 48316-1821. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bassett, Mark Andrew can be contacted via phone (586) 781-6955.

Contact Information

Primary practice address
53316 Van Dyke Ave Shelby Township MI 48316-1821
Fax: (586) 781-6945
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301008267 Michigan

Profile Details

NPI number 1083776421
LBN Legal business name Bassett, Mark Andrew
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated May 6th, 2008 - about 16 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 1083776421 NPPES
Michigan Other 0E05367 BCBS

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