Bass, Kim
Bass, Kim is an sole proprietor health care provider with primary practice located at 3409 W Wendover Ave Ste C , Greensboro NC 27407-1579. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Bass, Kim can be contacted via phone (336) 687-2657.Contact Information
Primary practice address
3409 W Wendover Ave Ste C
Greensboro NC 27407-1579
Phone: (336) 687-2657
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X |
Profile Details
| NPI number | 1962155135 |
|---|---|
| LBN Legal business name | Bass, Kim |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2022 |
| Last updated | Jan 28th, 2022 - about 3 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 | 1962155135 | NPPES |
| Other | 34D2250561 | CLIA |
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