Bosworth, Jessica Bass
Bosworth, Jessica Bass is an sole proprietor health care provider with primary practice located at 3415 Youngstown Dr , Fayetteville NC 28303. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Bosworth, Jessica Bass can be contacted via phone (703) 447-0454.Contact Information
Primary practice address
3415 Youngstown Dr
Fayetteville NC 28303
Phone: (703) 447-0454
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | North Carolina | |
| Behavioral Health & Social Service Providers / School | 103TS0200X | Georgia | |
| Behavioral Health & Social Service Providers / School | 103TS0200X | Virginia |
Profile Details
| NPI number | 1154835577 |
|---|---|
| LBN Legal business name | Bosworth, Jessica Bass |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2017 |
| Last updated | Nov 21st, 2017 - about 8 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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