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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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