Philip, Bassem
Philip, Bassem is an individual health care provider with primary practice located at 14405 Arbor Green Trl , Lakewood Ranch FL 34202-8409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Philip, Bassem can be contacted via phone (941) 917-7080.Contact Information
Primary practice address
14405 Arbor Green Trl
Lakewood Ranch FL 34202-8409
Phone: (941) 917-7080
Fax: (941) 917-7085
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME110747 | Florida |
Profile Details
NPI number | 1598061129 |
---|---|
LBN Legal business name | Philip, Bassem |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 29th, 2011 |
Last updated | Oct 26th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598061129 | NPPES |
Florida | MEDICAID | 004363700 | |
Florida | Other | 14H47 |
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