Bass, Rhonda Marie

Bass, Rhonda Marie is an individual health care provider with primary practice located at 19200 N Kelsey St , Monroe WA 98272-1431. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bass, Rhonda Marie can be contacted via phone (360) 794-7994.

Contact Information

Primary practice address
19200 N Kelsey St Monroe WA 98272-1431
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 083109 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60591859 Washington

Profile Details

NPI number 1023014925
LBN Legal business name Bass, Rhonda Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Mar 1st, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023014925 NPPES
Florida MEDICAID 264027900

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