Bass, Bobby
Bass, Bobby is an sole proprietor health care provider with primary practice located at 8 Hillside Ave Suite 206, Montclair NJ 07042-2129. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bass, Bobby can be contacted via phone (973) 819-3377.Contact Information
Primary practice address
8 Hillside Ave Suite 206
Montclair NJ 07042-2129
Phone: (973) 819-3377
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 44SC04564300 | New Jersey |
Profile Details
| NPI number | 1467596874 |
|---|---|
| LBN Legal business name | Bass, Bobby |
| Credentials | BOBBY BASS, L.C.S.W. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2007 |
| Last updated | Jun 17th, 2016 - about 9 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 | 1467596874 | NPPES |
| New Jersey | Other | SC45643 | NJ BOARD OF SOCIAL WORK |
| New Jersey | Other | P3457598 | NJ BOARD OF SOCIAL WORK |
| New Jersey | Other | 492298000 | NJ BOARD OF SOCIAL WORK |
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