Mashtalov, Nikolai
Mashtalov, Nikolai is an individual health care provider with primary practice located at 300 East Hospital Road , Fort Eisenhower GA 30905-5650. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Mashtalov, Nikolai can be contacted via phone (706) 787-5811.Contact Information
Primary practice address
300 East Hospital Road
Fort Eisenhower GA 30905-5650
Phone: (706) 787-5811
Fax: (706) 787-1745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1164208310 |
|---|---|
| LBN Legal business name | Mashtalov, Nikolai |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2023 |
| Last updated | Sep 5th, 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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