Basson, Marc D.

Basson, Marc D. is an individual health care provider with primary practice located at 1301 N Columbia Rd , Grand Forks ND 58202-6098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Basson, Marc D. can be contacted via phone (701) 777-5973.

Contact Information

Primary practice address
1301 N Columbia Rd Grand Forks ND 58202-6098
Phone: (701) 777-5973
Fax: (701) 777-5973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301077538 Michigan

Profile Details

NPI number 1346254406
LBN Legal business name Basson, Marc D.
Credentials MD, PHD, MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 1st, 2023 - about 2 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 1346254406 NPPES
Michigan MEDICAID 1346254406

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