Bass, Robert T.

Bass, Robert T. is an individual health care provider with primary practice located at 570 Jacksonville Dr Ufjp Beaches Liver And Digestive, Jacksonville Beach FL 32250-3813. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Bass, Robert T. can be contacted via phone (904) 241-8448.

Contact Information

Primary practice address
570 Jacksonville Dr Ufjp Beaches Liver And Digestive Jacksonville Beach FL 32250-3813
Phone: (904) 241-8448
Fax: (904) 244-3425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME63940 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME63940 Florida

Profile Details

NPI number 1457328726
LBN Legal business name Bass, Robert T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2006
Last updated Apr 15th, 2010 - about 15 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 1457328726 NPPES
Florida MEDICAID 3730948-00
Florida MEDICAID 000553957B

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