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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821121237 NPPES
Florida Other 51442Y PTAN

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