Bass, Jefferson

Bass, Jefferson is an individual health care provider with primary practice located at 3115 Sunset Blvd , West Columbia SC 29169-3425. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Bass, Jefferson can be contacted via phone (803) 791-3722.

Contact Information

Primary practice address
3115 Sunset Blvd West Columbia SC 29169-3425
Phone: (803) 791-3722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 17-45552 South Carolina

Profile Details

NPI number 1740781616
LBN Legal business name Bass, Jefferson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2018
Last updated Feb 26th, 2018 - about 7 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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