Bassham, Rebecca A

Bassham, Rebecca A is an sole proprietor health care provider with primary practice located at 2277 Swanson Ave Suite B, Lake Havasu City AZ 86403-5991. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Other Service Providers / Health Educator, Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other. Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other is her primary health care specialty. Bassham, Rebecca A can be contacted via phone (928) 486-5414.

Contact Information

Primary practice address
2277 Swanson Ave Suite B Lake Havasu City AZ 86403-5991
Phone: (928) 486-5414
Fax: (928) 854-0112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Other Service Providers / Health Educator 174H00000X
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X

Profile Details

NPI number 1114366358
LBN Legal business name Bassham, Rebecca A
Credentials BS, RT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2013
Last updated Jun 20th, 2013 - about 11 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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