Provider Demographics
NPI:1780623751
Name:BASSION CHIROPRACTIC P.C.
Entity type:Organization
Organization Name:BASSION CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BASSION
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:215-368-3331
Mailing Address - Street 1:939 HORSHAM RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18936-9610
Mailing Address - Country:US
Mailing Address - Phone:215-368-3331
Mailing Address - Fax:215-362-9117
Practice Address - Street 1:939 HORSHAM RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERYVILLE
Practice Address - State:PA
Practice Address - Zip Code:18936-9610
Practice Address - Country:US
Practice Address - Phone:215-368-3331
Practice Address - Fax:215-362-9117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002898L111NS0005X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2288604000OtherINDEPENDENCE BLUE SHIELD
PABA1609762OtherHIGHMARK/AMERIHEALTH
PA7275552OtherAETNA
PA7275552OtherAETNA