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:
Health care specialties
Specialty | Code | License # | 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 3 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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