George Henry Bascom Jr.
George Henry Bascom Jr. is a Case Manager/Care Coordinator in Pontiac, Michigan. Licensed in Michigan. Registered with an NPI since 2023.
- Licensed in
- MI
- In the registry since
- 2023
Practice location Address checks out
1685 Baldwin Ave Ste 100Pontiac, MI 48340-1242
Phone: (248) 706-3450
Fax: (248) 475-6403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (MI) |
|---|
Record details
| NPI number | 1649961418 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 15, 2023 |
| Last updated in NPPES | May 15, 2023 |
| Certification date | May 15, 2023 |
| Mailing address | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 |
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