Bassin, Roger E
Bassin, Roger E is an sole proprietor health care provider with primary practice located at 1705 Berglund Ln Suite 103, Viera FL 32940-6231. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Bassin, Roger E can be contacted via phone (321) 255-0025.Contact Information
Primary practice address
1705 Berglund Ln Suite 103
Viera FL 32940-6231
Phone: (321) 255-0025
Fax: (321) 255-0027
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME85585 | Florida |
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ME85585 | Florida |
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck | 2082S0099X | ME85585 | Florida |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | ME85585 | Florida |
Profile Details
NPI number | 1821121237 |
---|---|
LBN Legal business name | Bassin, Roger E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 14th, 2007 |
Last updated | Jul 17th, 2024 - about 5 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821121237 | NPPES |
Florida | Other | 51442Y | PTAN |
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