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Contact Information

MIRAKA BASS
4051 CEDAR LN STE B
PORTSMOUTH, VA23703-2003
 Phone: 757-975-3906
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for MIRAKA BASS · (Female)

NPI Number 1982207684
Status Active
Credentials
Entity Individual
Enumeration date 11/17/2020
Last updated 11/17/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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