Bass, Gene A
Bass, Gene A is an individual health care provider with primary practice located at 212 S College St , Harrodsburg KY 40330-1624. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Bass, Gene A can be contacted via phone (859) 253-1686.Contact Information
Primary practice address
212 S College St
Harrodsburg KY 40330-1624
Phone: (859) 253-1686
Fax: (859) 254-2743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 2088 | Kentucky |
Profile Details
| NPI number | 1134274178 |
|---|---|
| LBN Legal business name | Bass, Gene A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1134274178 | NPPES |
| Kentucky | MEDICAID | 30615058 |
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