Bass, Micah
Bass, Micah is an individual health care provider with primary practice located at 16200 Bear Valley Rd Ste 110 , Victorville CA 92395-8708. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bass, Micah can be contacted via phone (760) 241-1777.Contact Information
Primary practice address
16200 Bear Valley Rd Ste 110
Victorville CA 92395-8708
Phone: (760) 241-1777
Fax: (760) 245-2253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1962825505 |
|---|---|
| LBN Legal business name | Bass, Micah |
| Credentials | EXECUTIVE DIRECTOR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2014 |
| Last updated | Feb 3rd, 2014 - 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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