Mason, Athena C

Mason, Athena C is an individual health care provider with primary practice located at 2950 S Elm Pl Ste 160 , Broken Arrow OK 74012-7816. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mason, Athena C can be contacted via phone (981) 455-7777.

Contact Information

Primary practice address
2950 S Elm Pl Ste 160 Broken Arrow OK 74012-7816
Phone: (981) 455-7777
Fax: (918) 455-8105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3275 Oklahoma

Profile Details

NPI number 1437152774
LBN Legal business name Mason, Athena C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Aug 18th, 2022 - about 3 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 1437152774 NPPES
Oklahoma MEDICAID 100113580A

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