Bass, Michael Ray

Bass, Michael Ray is an sole proprietor health care provider with primary practice located at 13016 Amarillo Ave , Austin TX 78729-7537. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Other Service Providers / Mechanotherapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Bass, Michael Ray can be contacted via phone (512) 502-9556.

Contact Information

Primary practice address
13016 Amarillo Ave Austin TX 78729-7537
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 18721 Texas
Other Service Providers / Mechanotherapist 172M00000X MT007325 Texas

Profile Details

NPI number 1952664559
LBN Legal business name Bass, Michael Ray
Credentials LPC, LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2012
Last updated Jun 19th, 2012 - about 12 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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