Bass, Erica Hutcheson

Bass, Erica Hutcheson is an individual health care provider with primary practice located at 160 Fountains Blvd Ste B , Madison MS 39110-6343. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Bass, Erica Hutcheson can be contacted via phone (601) 981-2525.

Contact Information

Primary practice address
160 Fountains Blvd Ste B Madison MS 39110-6343
Phone: (601) 981-2525
Fax: (601) 981-3152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 22857 Mississippi

Profile Details

NPI number 1366604100
LBN Legal business name Bass, Erica Hutcheson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2008
Last updated Nov 19th, 2018 - about 8 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 1366604100 NPPES
Mississippi MEDICAID 0520851

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