Basseches, Michael
Basseches, Michael is an individual health care provider with primary practice located at 19 Bellflower St , Lexington MA 02421-6505. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Basseches, Michael can be contacted via phone (781) 652-8697.Contact Information
Primary practice address
19 Bellflower St
Lexington MA 02421-6505
Phone: (781) 652-8697
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3627 | Massachusetts |
Profile Details
| NPI number | 1073556932 |
|---|---|
| LBN Legal business name | Basseches, Michael |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073556932 | NPPES |
| Massachusetts | Other | W03704 | BLUE SHIELD |
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