Bass, Elliot L

Bass, Elliot L is an individual health care provider with primary practice located at 2381 E 29Th St , Brooklyn NY 11229-5027. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Bass, Elliot L can be contacted via phone (718) 743-1400.

Contact Information

Primary practice address
2381 E 29Th St Brooklyn NY 11229-5027
Phone: (718) 743-1400
Fax: (718) 743-7003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 002185 New York
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 002185 New York

Profile Details

NPI number 1528061082
LBN Legal business name Bass, Elliot L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Nov 3rd, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528061082 NPPES
Other 0017805 GHI
MEDICAID 00403503 GHI

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