Masferrer, Mauricio
Masferrer, Mauricio is an sole proprietor health care provider with primary practice located at 300 East Hospital Road, 13 Floor. Obhs Dwight D Eisenhower Army Medical Center, Fort Gordon GA 30905-5650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Masferrer, Mauricio can be contacted via phone (706) 787-2039.Contact Information
Primary practice address
300 East Hospital Road, 13 Floor. Obhs Dwight D Eisenhower Army Medical Center
Fort Gordon GA 30905-5650
Phone: (706) 787-2039
Fax: (706) 787-5625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0418009 | Kansas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 60217 | Georgia |
Profile Details
| NPI number | 1972595429 |
|---|---|
| LBN Legal business name | Masferrer, Mauricio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Dec 10th, 2013 - about 11 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 | 1972595429 | NPPES |
| Arizona | MEDICAID | 987753 | |
| Arizona | MEDICAID | 86935828 |
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