Bass, David Martin
Bass, David Martin is an sole proprietor health care provider with primary practice located at 85 Seymour St Suite 718, Hartford CT 06106-5501. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Other Service Providers / Specialist is his primary health care specialty. Bass, David Martin can be contacted via phone (860) 247-3479.Contact Information
Primary practice address
85 Seymour St Suite 718
Hartford CT 06106-5501
Phone: (860) 247-3479
Fax: (860) 522-6713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 016246 | Connecticut |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 016246 | Connecticut |
Profile Details
| NPI number | 1497722300 |
|---|---|
| LBN Legal business name | Bass, David Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Aug 9th, 2013 - about 11 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 | 1497722300 | NPPES |
| Connecticut | MEDICAID | 001162460 |
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