Bass, Oral Edward

Bass, Oral Edward is an sole proprietor health care provider with primary practice located at 2004 W Marler Ln , Ozark MO 65721-7661. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bass, Oral Edward can be contacted via phone (417) 581-3927.

Contact Information

Primary practice address
2004 W Marler Ln Ozark MO 65721-7661
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2003028770 Missouri

Profile Details

NPI number 1013037365
LBN Legal business name Bass, Oral Edward
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2007
Last updated Sep 19th, 2013 - about 12 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 1013037365 NPPES
Missouri Other 1013037365 INDIVIDUAL NPI
Missouri MEDICAID 1487825535 INDIVIDUAL NPI
Missouri Other 000015702 INDIVIDUAL NPI

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