Bassett, Mark R

Bassett, Mark R is an individual health care provider with primary practice located at 400 E 5Th Ave , Spokane WA 99202-1334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bassett, Mark R can be contacted via phone (509) 838-2531.

Contact Information

Primary practice address
400 E 5Th Ave Spokane WA 99202-1334
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD00020088 Washington

Profile Details

NPI number 1619969045
LBN Legal business name Bassett, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Dec 12th, 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 1619969045 NPPES
Washington MEDICAID 1037514

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