Bass, Derrick Andrew

Bass, Derrick Andrew is an individual health care provider with primary practice located at 166 Springbrook Ave Ste 101 , Clayton NC 27520-8520. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bass, Derrick Andrew can be contacted via phone (919) 550-3430.

Contact Information

Primary practice address
166 Springbrook Ave Ste 101 Clayton NC 27520-8520
Phone: (919) 550-3430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT001963 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0010-11712 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-11712 North Carolina

Profile Details

NPI number 1528502358
LBN Legal business name Bass, Derrick Andrew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2016
Last updated Dec 6th, 2021 - about 3 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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