Bass, Dwight R.
Bass, Dwight R. is an sole proprietor health care provider with primary practice located at 3600 Power Inn Rd Ste G , Sacramento CA 95826-3826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Bass, Dwight R. can be contacted via phone (916) 454-1423.Contact Information
Primary practice address
3600 Power Inn Rd Ste G
Sacramento CA 95826-3826
Phone: (916) 454-1423
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | C22433 | California |
Profile Details
| NPI number | 1689712317 |
|---|---|
| LBN Legal business name | Bass, Dwight R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1689712317 | NPPES |
| California | MEDICAID | 00C22433 |
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