Bass, James Jeffrey

Bass, James Jeffrey is an sole proprietor health care provider with primary practice located at 1201 Hauck Dr , Rolla MO 65401-4900. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bass, James Jeffrey can be contacted via phone (573) 364-8818.

Contact Information

Primary practice address
1201 Hauck Dr Rolla MO 65401-4900
Phone: (573) 364-8818
Fax: (573) 368-4422
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X R2C49 Missouri

Profile Details

NPI number 1336130079
LBN Legal business name Bass, James Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Aug 22nd, 2019 - about 7 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 1336130079 NPPES
Missouri Other 100719 HEALTHLINK
Missouri Other 010066255 HEALTHLINK
Missouri Other 9476 HEALTHLINK
Missouri MEDICAID 201810504 HEALTHLINK
Missouri Other 26D0446816 HEALTHLINK

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