Bassil, Habib Fouad

Bassil, Habib Fouad is an sole proprietor health care provider with primary practice located at 2232 Wilborn Ave Suite A, South Boston VA 24592-1662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bassil, Habib Fouad can be contacted via phone (434) 572-8977.

Contact Information

Primary practice address
2232 Wilborn Ave Suite A South Boston VA 24592-1662
Phone: (434) 572-8977
Fax: (434) 572-2510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101044555 Virginia

Profile Details

NPI number 1710944707
LBN Legal business name Bassil, Habib Fouad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Sep 15th, 2016 - about 8 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 1710944707 NPPES
Virginia MEDICAID 005879817

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