Bass, Donna White
Bass, Donna White is an individual health care provider with primary practice located at 4005 Oleander Dr , Wilmington NC 28403-6816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bass, Donna White can be contacted via phone (910) 790-9949.Contact Information
Primary practice address
4005 Oleander Dr
Wilmington NC 28403-6816
Phone: (910) 790-9949
Fax: (910) 790-9455
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 800112 | North Carolina |
Profile Details
NPI number | 1790788024 |
---|---|
LBN Legal business name | Bass, Donna White |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2005 |
Last updated | Feb 11th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790788024 | NPPES |
North Carolina | Other | C1647 | MEDCOST |
North Carolina | MEDICAID | 7005293 | MEDCOST |
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