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
Phone: (330) 480-2199
Fax: (330) 480-2071
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912969783 | NPPES |
Ohio | MEDICAID | 2194889 |
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