Bass, Dale V

Bass, Dale V is an individual health care provider with primary practice located at 199 E Webster St , Colusa CA 95932-2954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bass, Dale V can be contacted via phone (530) 458-5821.

Contact Information

Primary practice address
199 E Webster St Colusa CA 95932-2954
Phone: (530) 458-5821
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C22002 California

Profile Details

NPI number 1992720924
LBN Legal business name Bass, Dale V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Apr 9th, 2012 - about 12 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 1992720924 NPPES
California MEDICAID 00C220020

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