Bass, Jonathan Noah
Bass, Jonathan Noah is an sole proprietor health care provider with primary practice located at 91 Robinwood Ave , Needham MA 02492-2112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bass, Jonathan Noah can be contacted via phone (781) 449-8342.Contact Information
Primary practice address
91 Robinwood Ave
Needham MA 02492-2112
Phone: (781) 449-8342
Fax: (781) 449-5984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 46670 | Massachusetts |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 46670 | Massachusetts |
Profile Details
| NPI number | 1164597035 |
|---|---|
| LBN Legal business name | Bass, Jonathan Noah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164597035 | NPPES |
| Massachusetts | Other | JO3946 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 706514 | BLUE CROSS BLUE SHIELD |
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