Bass, Mercedes C

Bass, Mercedes C is an sole proprietor health care provider with primary practice located at 12027 194Th St , Saint Albans NY 11412-3713. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Bass, Mercedes C can be contacted via phone (347) 323-9440.

Contact Information

Primary practice address
12027 194Th St Saint Albans NY 11412-3713
Phone: (347) 323-9440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 541914 New York

Profile Details

NPI number 1922298934
LBN Legal business name Bass, Mercedes C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2007
Last updated Jul 26th, 2007 - 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 1922298934 NPPES
New York MEDICAID 02531193

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