MEDICARE: FIORI P.C. BASSETT FAMILY CHIROPRACTIC P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	MB008267	MI
2	111N00000X	Chiropractor	KB008256	MI

General Provider Information

NPI Number	:	1134275183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIORI P.C. BASSETT FAMILY CHIROPRACTIC P.C.

Provider Business Mailing Address
First Line	:	51309 MOUND RD
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-4344
Country	:	US
Telephone Number	:	586-323-7901
Fax Number	:	586-323-7903

Provider Business Practice Location Address
First Line	:	51309 MOUND RD
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-4344
Country	:	US
Telephone Number	:	586-323-7901
Fax Number	:	586-323-7903

Authorized Official
Title or Position	:	OFFICER
Name	:	DR. KRISTA A BASSETT
Credential	:	D.C.
Telephone Number	:	586-781-6955

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	10/30/2014

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