Individual
DR. MICHAEL E BAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6706 WINCHESTER RD, MEMPHIS, TN 38115-4341
(901) 363-5088
(901) 363-5134
Mailing address
6706 WINCHESTER RD, MEMPHIS, TN 38115-4341
(901) 363-5088
(901) 363-5134
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0360
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0028129
BCBS
TN
01
—
4284750
AETNA PROVIDER #
TN
Enumeration date
06/13/2006
Last updated
07/08/2007
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