Bass, Edward King

Bass, Edward King is an individual health care provider with primary practice located at 1014 W Franklin St , Sylvester GA 31791-1978. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bass, Edward King can be contacted via phone (229) 776-2965.

Contact Information

Primary practice address
1014 W Franklin St Sylvester GA 31791-1978
Phone: (229) 776-2965
Fax: (229) 776-4452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 049270 Georgia

Profile Details

NPI number 1205811262
LBN Legal business name Bass, Edward King
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Sep 27th, 2010 - about 15 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 1205811262 NPPES
Georgia MEDICAID 00892196C
Georgia MEDICAID 00892196D

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