Individual
JOHN B BASSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
282 CLEAR SKY CT, CLARKSVILLE, TN 37043-5653
(931) 647-1199
(931) 647-7010
Mailing address
2147 RIVERCHASE OFFICE RD, BIRMINGHAM, AL 35244-1836
(205) 403-8902
(205) 982-0278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD6465
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I118651
MEDICARE PTAN
TN
01
—
187409
TENNCARE BCBS
TN
05
—
3806531
—
TN
Enumeration date
09/13/2005
Last updated
08/11/2015
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