Bassil, Nazem Kaissar

Bassil, Nazem Kaissar is an individual health care provider with primary practice located at 1402 S Grand Blvd # M238 , Saint Louis MO 63104-1004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Bassil, Nazem Kaissar can be contacted via phone (314) 977-8462.

Contact Information

Primary practice address
1402 S Grand Blvd # M238 Saint Louis MO 63104-1004
Phone: (314) 977-8462
Fax: (314) 771-8575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 2007010286 Missouri

Profile Details

NPI number 1235320045
LBN Legal business name Bassil, Nazem Kaissar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Aug 6th, 2007 - about 17 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 1235320045 NPPES
Missouri Other 2007010286 MO LICENSE

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