Bass, Gary

Bass, Gary is an individual health care provider with primary practice located at 85 Sangers Ln , Staunton VA 24401-6712. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bass, Gary can be contacted via phone (540) 887-3200.

Contact Information

Primary practice address
85 Sangers Ln Staunton VA 24401-6712
Fax: (540) 887-3240
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701004465 Virginia

Profile Details

NPI number 1053564930
LBN Legal business name Bass, Gary
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2008
Last updated Oct 23rd, 2008 - about 16 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 1053564930 NPPES
Virginia MEDICAID 004945336

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