Doctor Name: | DR. MICHAEL J BASSAN |
NPI Number: | 1255312732 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | S01110 |
Business Practice Address: | 540 E Belvedere Ave Suite 200 Baltimore, MD - 212123750 |
Business Phone Number: | 4103234500 |
Business Fax Number: | 4103235883 |
Mailing Address: | 9601 Pulaski Park Dr, Suite 416 MIDDLE RIVER |
State: | MD |
Postal Code: | 212201409 |
Phone Number: | 4109335678 |
Fax Number: | 4109331823 |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | S01110 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |