Shamma, Bassam Nicholas
Shamma, Bassam Nicholas is an sole proprietor health care provider with primary practice located at 4607 Maccorkle Ave Sw Ste 301, South Charleston WV 25309-1364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Shamma, Bassam Nicholas can be contacted via phone (304) 767-7919.Contact Information
Primary practice address
4607 Maccorkle Ave Sw Ste 301
South Charleston WV 25309-1364
Phone: (304) 767-7919
Fax: (304) 767-7911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 16982 | West Virginia |
Profile Details
| NPI number | 1326044413 |
|---|---|
| LBN Legal business name | Shamma, Bassam Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1326044413 | NPPES |
| West Virginia | MEDICAID | 0092235000 |
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