Bass, Jill

Bass, Jill is an individual health care provider with primary practice located at 2118 Rosalind Ave Sw , Roanoke VA 24014-1718. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Bass, Jill can be contacted via phone (540) 981-7653.

Contact Information

Primary practice address
2118 Rosalind Ave Sw Roanoke VA 24014-1718
Phone: (540) 981-7653
Fax: (540) 981-7469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 0015-000581 Virginia

Profile Details

NPI number 1104800754
LBN Legal business name Bass, Jill
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated May 6th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104800754 NPPES
Virginia MEDICAID 8900230

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