Dorough, Dan Mason
Dorough, Dan Mason is an individual health care provider with primary practice located at 722 Medical Center Dr E #101 , Clovis CA 93611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Dorough, Dan Mason can be contacted via phone (559) 297-9500.Contact Information
Primary practice address
722 Medical Center Dr E #101
Clovis CA 93611
Phone: (559) 297-9500
Fax: (559) 297-9572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G60866 | California |
Profile Details
| NPI number | 1417011289 |
|---|---|
| LBN Legal business name | Dorough, Dan Mason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417011289 | NPPES |
| California | MEDICAID | 00G608661 |
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