Bass, Robert T.
Bass, Robert T. is an individual health care provider with primary practice located at 570 Jacksonville Dr Ufjp Beaches Liver And Digestive, Jacksonville Beach FL 32250-3813. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Bass, Robert T. can be contacted via phone (904) 241-8448.Contact Information
Primary practice address
570 Jacksonville Dr Ufjp Beaches Liver And Digestive
Jacksonville Beach FL 32250-3813
Phone: (904) 241-8448
Fax: (904) 244-3425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME63940 | Florida |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME63940 | Florida |
Profile Details
| NPI number | 1457328726 |
|---|---|
| LBN Legal business name | Bass, Robert T. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2006 |
| Last updated | Apr 15th, 2010 - about 16 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 | 1457328726 | NPPES |
| Florida | MEDICAID | 3730948-00 | |
| Florida | MEDICAID | 000553957B |
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