Masias, Michael Theodore
Masias, Michael Theodore is an sole proprietor health care provider with primary practice located at 64 N Locust St , Hazleton PA 18201-5740. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Chiropractor is his primary health care specialty. Masias, Michael Theodore can be contacted via phone (570) 501-9108.Contact Information
Primary practice address
64 N Locust St
Hazleton PA 18201-5740
Phone: (570) 501-9108
Fax: (570) 501-9150
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | DC009223 | Pennsylvania |
Chiropractic Providers / Rehabilitation | 111NR0400X | AJ009055 | Pennsylvania |
Profile Details
NPI number | 1033202890 |
---|---|
LBN Legal business name | Masias, Michael Theodore |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 2nd, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1033202890 | NPPES |
Pennsylvania | Other | 818948 | FIRST PRIORITY HEALTH |
Pennsylvania | Other | MA1619029 | FIRST PRIORITY HEALTH |
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