Bass, Evelyn Therese

Bass, Evelyn Therese is an sole proprietor health care provider with primary practice located at 174 S Franklin St Ste 211 , Juneau AK 99801-1362. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Bass, Evelyn Therese can be contacted via phone (907) 957-6459.

Contact Information

Primary practice address
174 S Franklin St Ste 211 Juneau AK 99801-1362
Phone: (907) 957-6459
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Alaska
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 101363 Alaska

Profile Details

NPI number 1851760813
LBN Legal business name Bass, Evelyn Therese
Credentials LMT, M.ED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2015
Last updated May 24th, 2022 - about 2 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 1851760813 NPPES
Other 1912475260 EMPLOYER/SUPERVISOR'S NPI

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