Bass, Eric Michael

Bass, Eric Michael is an individual health care provider with primary practice located at 12500 Dallas Parkway , Frisco TX 75033-9371. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Bass, Eric Michael can be contacted via phone (469) 604-9150.

Contact Information

Primary practice address
12500 Dallas Parkway Frisco TX 75033-9371
Phone: (469) 604-9150
Fax: (469) 604-9151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036 083278 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X S8685 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 036083278 Illinois
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036083278 Illinois
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X S8685 Texas

Profile Details

NPI number 1457324824
LBN Legal business name Bass, Eric Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Aug 30th, 2022 - about 4 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 1457324824 NPPES
Illinois MEDICAID 0360832781
Illinois Other 020046539

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