Bass, Sallie W.

Bass, Sallie W. is an individual health care provider with primary practice located at 1000 Blythe Blvd , Charlotte NC 28203-5812. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bass, Sallie W. can be contacted via phone (704) 355-8983.

Contact Information

Primary practice address
1000 Blythe Blvd Charlotte NC 28203-5812
Phone: (704) 355-8983
Fax: (704) 355-8994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 160712 North Carolina

Profile Details

NPI number 1568406262
LBN Legal business name Bass, Sallie W.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated May 21st, 2010 - about 14 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 1568406262 NPPES
South Carolina MEDICAID NAN701
South Carolina MEDICAID 8052019

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