Bass, Rita A.

Bass, Rita A. is an individual health care provider with primary practice located at 8926 Woodyard Rd Suite 301, Clinton MD 20735-4220. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Bass, Rita A. can be contacted via phone (301) 856-3670.

Contact Information

Primary practice address
8926 Woodyard Rd Suite 301 Clinton MD 20735-4220
Phone: (301) 856-3670
Fax: (301) 868-0129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101034430 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101034430 Virginia
Other Service Providers / Specialist 174400000X D27202 Maryland

Profile Details

NPI number 1700866316
LBN Legal business name Bass, Rita A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Apr 27th, 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 1700866316 NPPES
Virginia MEDICAID 010292395
Virginia MEDICAID 761600700
Virginia MEDICAID 010331048
Virginia MEDICAID 010292417

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