Mashburn, Jeremy James

Mashburn, Jeremy James is an individual health care provider with primary practice located at 348 Main St , Greenville PA 16125-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mashburn, Jeremy James can be contacted via phone (724) 588-5250.

Contact Information

Primary practice address
348 Main St Greenville PA 16125-2608
Fax: (724) 588-5253
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.011238 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS022110 Pennsylvania

Profile Details

NPI number 1285945311
LBN Legal business name Mashburn, Jeremy James
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2010
Last updated May 18th, 2023 - 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 1285945311 NPPES
Ohio Other 34.011238 OHIO MEDICAL LICENSE
Ohio MEDICAID PENDING OHIO MEDICAL LICENSE

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