Bass, Jill
Bass, Jill is an individual health care provider with primary practice located at 2118 Rosalind Ave Sw , Roanoke VA 24014-1718. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Bass, Jill can be contacted via phone (540) 981-7653.Contact Information
Primary practice address
2118 Rosalind Ave Sw
Roanoke VA 24014-1718
Phone: (540) 981-7653
Fax: (540) 981-7469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 364SG0600X | 0015-000581 | Virginia |
Profile Details
| NPI number | 1104800754 |
|---|---|
| LBN Legal business name | Bass, Jill |
| Credentials | Clinical Nurse Specialist (CNS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | May 6th, 2008 - about 18 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 | 1104800754 | NPPES |
| Virginia | MEDICAID | 8900230 |
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