Bass, Andrew Clyde
Bass, Andrew Clyde is an individual health care provider with primary practice located at 315 South Scriven Ave , Live Oak FL 32064. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bass, Andrew Clyde can be contacted via phone (386) 362-4822.Contact Information
Primary practice address
315 South Scriven Ave
Live Oak FL 32064
Phone: (386) 362-4822
Fax: (386) 364-3534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME0017754 | Florida |
Profile Details
| NPI number | 1912978693 |
|---|---|
| LBN Legal business name | Bass, Andrew Clyde |
| Credentials | MEDICAL DOCTOR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jul 8th, 2007 - 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 | 1912978693 | NPPES |
| Florida | Other | 16856 | BCBS |
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