Provider Demographics
NPI:1609687797
Name:ALSABBAGH, BASSEMA
Entity type:Individual
Prefix:
First Name:BASSEMA
Middle Name:
Last Name:ALSABBAGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2690 OXFORD ST N APT 230
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-2067
Mailing Address - Country:US
Mailing Address - Phone:612-805-8095
Mailing Address - Fax:
Practice Address - Street 1:2690 OXFORD ST N APT 230
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-2067
Practice Address - Country:US
Practice Address - Phone:612-805-8095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter