Individual
NANCY E BASS
Active
Individual
NANCY E BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
23087
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000182734
ANTHEM
OH
01
—
000000221329
UNISON
OH
01
—
000000525878
ANTHEM
OH
01
—
1015724700001
PA MEDICAID
PA
01
—
2098807
AETNA
OH
01
—
2114518
BCMH
OH
05
—
2114518
—
OH
01
—
363346
BUCKEYE
OH
01
—
740064
BUCKEYE
OH
01
—
P00412275
RAILROAD MEDICARE
OH
Enumeration date
07/21/2006
Last updated
09/12/2022
Update your record
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