Bass, Javan S.

Bass, Javan S. is an individual health care provider with primary practice located at 8225 Mall Pkwy , Lithonia GA 30038-6994. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Bass, Javan S. can be contacted via phone (770) 484-9599.

Contact Information

Primary practice address
8225 Mall Pkwy Lithonia GA 30038-6994
Phone: (770) 484-9599
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC006097 Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD001101 Georgia

Profile Details

NPI number 1669601381
LBN Legal business name Bass, Javan S.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2009
Last updated Feb 23rd, 2010 - about 14 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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