Bass, Andora

Bass, Andora is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Bass, Andora can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Fax: (336) 716-8190
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2006-00547 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2006-00547 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2006-00547 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 2006-00547 North Carolina

Profile Details

NPI number 1508870668
LBN Legal business name Bass, Andora
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Feb 13th, 2020 - about 5 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 1508870668 NPPES
North Carolina MEDICAID 5904203

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