Bassett, Timothy M

Bassett, Timothy M is an individual health care provider with primary practice located at 201 Florida Pl Se , Fort Walton Beach FL 32548-5812. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bassett, Timothy M can be contacted via phone (850) 301-0900.

Contact Information

Primary practice address
201 Florida Pl Se Fort Walton Beach FL 32548-5812
Phone: (850) 301-0900
Fax: (850) 301-0606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH0007652 Florida

Profile Details

NPI number 1487696712
LBN Legal business name Bassett, Timothy M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 21st, 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 1487696712 NPPES
Florida Other 55835 BLUE CROSS BLUE SHIELD

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