Bass, Jennifer Emily

Bass, Jennifer Emily is an individual health care provider with primary practice located at 275 Morning View Lane , Mantachie MS 38855-7096. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bass, Jennifer Emily can be contacted via phone (662) 255-0161.

Contact Information

Primary practice address
275 Morning View Lane Mantachie MS 38855-7096
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X TA2283 Mississippi

Profile Details

NPI number 1497063085
LBN Legal business name Bass, Jennifer Emily
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2010
Last updated Sep 17th, 2010 - about 15 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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