Bass, Charles Edward
Bass, Charles Edward is an sole proprietor health care provider with primary practice located at 101 Fairview Park Dr , Dublin GA 31021-2501. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bass, Charles Edward can be contacted via phone (478) 272-7494.Contact Information
Primary practice address
101 Fairview Park Dr
Dublin GA 31021-2501
Phone: (478) 272-7494
Fax: (478) 272-2616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1787 | Georgia |
Profile Details
| NPI number | 1295706117 |
|---|---|
| LBN Legal business name | Bass, Charles Edward |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jun 29th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295706117 | NPPES |
| Georgia | MEDICAID | 000562504C | |
| Georgia | MEDICAID | 000562594F |
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