Bass, William Thomas

Bass, William Thomas is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Bass, William Thomas can be contacted via phone (757) 668-7456.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Phone: (757) 668-7456
Fax: (757) 668-9255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 0101041237 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101041237 Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101041237 Virginia

Profile Details

NPI number 1174572382
LBN Legal business name Bass, William Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Dec 7th, 2009 - 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 1174572382 NPPES
West Virginia MEDICAID 9801055000
West Virginia MEDICAID 890501G
West Virginia MEDICAID 0000937601
West Virginia MEDICAID 120431900
West Virginia MEDICAID 0018724740001
West Virginia MEDICAID 006722172

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