Bass, Lisa

Bass, Lisa is an individual health care provider with primary practice located at 522 Mill Rd , Clarksville AR 72830-8511. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietary Manager, which is considered as her primary health care specialty. Bass, Lisa can be contacted via phone (479) 705-1301.

Contact Information

Primary practice address
522 Mill Rd Clarksville AR 72830-8511
Phone: (479) 705-1301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietary Manager 132700000X

Profile Details

NPI number 1275960759
LBN Legal business name Bass, Lisa
Credentials DIETARY AIDE
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2013
Last updated Sep 30th, 2013 - about 11 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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