Bass, Michael T

Bass, Michael T is an individual health care provider with primary practice located at 1720 Highway 59 S , Thief River Falls MN 56701-4331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bass, Michael T can be contacted via phone (218) 681-4747.

Contact Information

Primary practice address
1720 Highway 59 S Thief River Falls MN 56701-4331
Phone: (218) 681-4747
Fax: (218) 683-2595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 43101 Minnesota

Profile Details

NPI number 1336179910
LBN Legal business name Bass, Michael T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Apr 6th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336179910 NPPES
Minnesota Other 73Q72BA MNBS #
Minnesota Other 0701567 MNBS #
Minnesota Other ND200210 MNBS #
Minnesota Other HP38654 MNBS #
Minnesota Other 141993 MNBS #
Minnesota Other 1172372 MNBS #
Minnesota MEDICAID 12150 MNBS #
Minnesota Other 20477 MNBS #
Minnesota MEDICAID 5041522000 MNBS #
Minnesota Other DA9021026958 MNBS #

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