Provider Demographics
NPI:1134275183
Name:FIORI P.C. BASSETT FAMILY CHIROPRACTIC P.C.
Entity type:Organization
Organization Name:FIORI P.C. BASSETT FAMILY CHIROPRACTIC P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BASSETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:586-781-6955
Mailing Address - Street 1:51309 MOUND RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-4344
Mailing Address - Country:US
Mailing Address - Phone:586-323-7901
Mailing Address - Fax:586-323-7903
Practice Address - Street 1:51309 MOUND RD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-4344
Practice Address - Country:US
Practice Address - Phone:586-323-7901
Practice Address - Fax:586-323-7903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMB008267111N00000X
MIKB008256111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty