Bass, Randall Dwight

Bass, Randall Dwight is an individual health care provider with primary practice located at 1990 Industrial Boulevard , Houma LA 70363-7055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Bass, Randall Dwight can be contacted via phone (985) 868-9300.

Contact Information

Primary practice address
1990 Industrial Boulevard Houma LA 70363-7055
Phone: (985) 868-9300
Fax: (985) 851-0053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 14997R Louisiana

Profile Details

NPI number 1780616953
LBN Legal business name Bass, Randall Dwight
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780616953 NPPES
Louisiana Other P00116891 RAILROAD MEDICARE
Louisiana MEDICAID 1157694 RAILROAD MEDICARE
Louisiana Other 1900G5758Z RAILROAD MEDICARE

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