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Contact Information

MICHELLE BASSIOUNI, PA-C
4366 PEARSON PKWY
OREGON, OH43616-3572
 Phone: 419-704-9478
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHELLE BASSIOUNI · (Female)

NPI Number 1689031445
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/25/2016
Last updated 06/14/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 50.002160RX
  • OH Medicaid 0254822
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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