Bass, John

Bass, John is an individual health care provider with primary practice located at University Of Minnesota Physicians 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis MN 55455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Bass, John can be contacted via phone (612) 672-7122.

Contact Information

Primary practice address
University Of Minnesota Physicians 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100 Minneapolis MN 55455
Phone: (612) 672-7122
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24910 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 24910 Minnesota

Profile Details

NPI number 1164468583
LBN Legal business name Bass, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 28th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164468583 NPPES
Iowa MEDICAID 1984401
Iowa MEDICAID 30259200
Iowa MEDICAID 0055641
Iowa MEDICAID 276893300
Iowa MEDICAID JB40370
Iowa Other 604547
Iowa MEDICAID 805361700
Iowa Other HP12862
Iowa Other 2570708
Iowa Other 2T119BA
Iowa Other 101002
Iowa Other 0644007
Iowa MEDICAID 10383
Iowa Other 25-22585

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