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Contact Information

LISA BASS, DIETARY AIDE
522 MILL RD
CLARKSVILLE, AR72830-8511
 Phone: 479-705-1301
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietary Manager

132700000X
Indicates primary specialty

NPI Profile & details for LISA BASS · (Female)

NPI # 1275960759
Status Active
Credentials DIETARY AIDE
Entity Individual
Enumeration date 09/30/2013
Last updated 09/30/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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