Bassin, Alan S

Bassin, Alan S is an individual health care provider with primary practice located at 302 Medical Park Dr Suite 101, Lufkin TX 75904-3129. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bassin, Alan S can be contacted via phone (936) 634-8216.

Contact Information

Primary practice address
302 Medical Park Dr Suite 101 Lufkin TX 75904-3129
Phone: (936) 634-8216
Fax: (936) 634-8723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0078496 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X N7677 Texas

Profile Details

NPI number 1831191790
LBN Legal business name Bassin, Alan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Oct 9th, 2013 - about 11 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 1831191790 NPPES
Florida MEDICAID 258240600
Florida Other 0163182
Florida Other 265715
Florida Other 031845
Florida Other 46809

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