Eastham, Mason

Eastham, Mason is an individual health care provider with primary practice located at 700 Park Ave , Ironton OH 45638-1502. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Eastham, Mason can be contacted via phone (740) 532-1613.

Contact Information

Primary practice address
700 Park Ave Ironton OH 45638-1502
Phone: (740) 532-1613
Fax: (740) 532-1715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X CDCA.169543 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCII.161825 Ohio

Profile Details

NPI number 1003329087
LBN Legal business name Eastham, Mason
Credentials LCDCII
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2017
Last updated Nov 9th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003329087 NPPES
Ohio MEDICAID 0282489

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