Bassham, Kelly Michael

Bassham, Kelly Michael is an sole proprietor health care provider with primary practice located at 200 Elm St Ste 200D , Birmingham MI 48009-6322. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bassham, Kelly Michael can be contacted via phone (248) 986-2991.

Contact Information

Primary practice address
200 Elm St Ste 200D Birmingham MI 48009-6322
Fax: (248) 294-1237
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801090908 Michigan

Profile Details

NPI number 1023363488
LBN Legal business name Bassham, Kelly Michael
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2012
Last updated Sep 5th, 2021 - about 5 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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