Bass, Jennifer K

Bass, Jennifer K is an individual health care provider with primary practice located at 112 S 42Nd St , Mt Vernon IL 62864. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bass, Jennifer K can be contacted via phone (618) 244-0508.

Contact Information

Primary practice address
112 S 42Nd St Mt Vernon IL 62864
Phone: (618) 244-0508
Fax: (618) 244-0646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Illinois

Profile Details

NPI number 1922009950
LBN Legal business name Bass, Jennifer K
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
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.

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