Individual
DR. CARRIE A BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11201 SHAKER BLVD, SUITE 102A, CLEVELAND, OH 44104-3869
(216) 721-6900
(216) 268-7905
Mailing address
PO BOX 932127, CLEVELAND, OH 44193-0001
(216) 472-2730
(216) 472-2740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34-008430
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2579713
—
OH
Enumeration date
05/02/2006
Last updated
03/30/2011
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