Bass, Matthew Richard

Bass, Matthew Richard is an individual health care provider with primary practice located at 27Th Special Operations Medical Group 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb NM 88103. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Bass, Matthew Richard can be contacted via phone (720) 592-5310.

Contact Information

Primary practice address
27Th Special Operations Medical Group 224 W D. L. Ingram Avenue, Bldg. 1408 Cannon Afb NM 88103
Phone: (720) 592-5310
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 17033 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 17033 Colorado

Profile Details

NPI number 1194334862
LBN Legal business name Bass, Matthew Richard
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2020
Last updated Jun 10th, 2024 - about 6 months 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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