Bass, Gary Allen
Bass, Gary Allen is an individual health care provider with primary practice located at 131 Commonwealth Dr Suite 310, Greenville SC 29615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bass, Gary Allen can be contacted via phone (864) 288-5402.Contact Information
Primary practice address
131 Commonwealth Dr Suite 310
Greenville SC 29615
Phone: (864) 288-5402
Fax: (864) 234-7961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 14432 | South Carolina |
Profile Details
| NPI number | 1114930369 |
|---|---|
| LBN Legal business name | Bass, Gary Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1114930369 | NPPES |
| South Carolina | MEDICAID | GP2981 |
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