Mashburn, Medford Benny

Mashburn, Medford Benny is an individual health care provider with primary practice located at 1044 Belmont Ave , Youngstown OH 44504-1006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Mashburn, Medford Benny can be contacted via phone (330) 480-2199.

Contact Information

Primary practice address
1044 Belmont Ave Youngstown OH 44504-1006
Fax: (330) 480-2071
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35075832 Ohio
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 35.075832 Ohio

Profile Details

NPI number 1912969783
LBN Legal business name Mashburn, Medford Benny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Dec 28th, 2016 - about 9 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 1912969783 NPPES
Ohio MEDICAID 2194889

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