Bass, Susan M
Bass, Susan M is an sole proprietor health care provider with primary practice located at 112 Chestnut St , Thayer MO 65791-1202. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bass, Susan M can be contacted via phone (573) 996-3046.Contact Information
Primary practice address
112 Chestnut St
Thayer MO 65791-1202
Phone: (573) 996-3046
Fax: (573) 996-3046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 111929 | Missouri |
Profile Details
| NPI number | 1881748358 |
|---|---|
| LBN Legal business name | Bass, Susan M |
| Credentials | MCD-CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Sep 15th, 2012 - about 14 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 | 1881748358 | NPPES |
| Missouri | MEDICAID | 467718219 |
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