Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 9384 | NV |
NPI | 1083692586 |
---|---|
Provider Name | Dr. Hugh Lawrence Bassewitz |
First Address | Las Vegas, NV 89121-3608 |
Second Address | Las Vegas, NV 89121-3608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2006 |
Last Update Date | 11/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200039181 | R.R. MEDICARE (01) | |
2019043 | (05) | NV |
7329158 | AETNA (01) | |
H15173 | (02) | |
NV8293 | BXBS (01) |