Bass, Charles M

Bass, Charles M is an individual health care provider with primary practice located at 5100 Gamble Dr Suite 100 - Mail Stop 31200A Healthpartners West Clinic, St. Louis Park MN 55416-1582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bass, Charles M can be contacted via phone (952) 541-2500.

Contact Information

Primary practice address
5100 Gamble Dr Suite 100 - Mail Stop 31200A Healthpartners West Clinic St. Louis Park MN 55416-1582
Phone: (952) 541-2500
Fax: (952) 595-6455
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29729 Minnesota

Profile Details

NPI number 1407825870
LBN Legal business name Bass, Charles M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Dec 8th, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407825870 NPPES
Minnesota MEDICAID 569580500

Popular Providers