Masciotra, Nicholas J.

Masciotra, Nicholas J. is an sole proprietor health care provider with primary practice located at 321 Main St Suite 4C, Johnstown PA 15901-1632. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Masciotra, Nicholas J. can be contacted via phone (814) 536-7725.

Contact Information

Primary practice address
321 Main St Suite 4C Johnstown PA 15901-1632
Phone: (814) 536-7725
Fax: (814) 539-3130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25-1562722 Pennsylvania

Profile Details

NPI number 1558463117
LBN Legal business name Masciotra, Nicholas J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1558463117 NPPES
Pennsylvania Other 072559 HIGHMARK
Pennsylvania MEDICAID 0007090690001 HIGHMARK

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