Mason, Brian A

Mason, Brian A is an individual health care provider with primary practice located at 22151 Moross Rd 313, Detroit MI 48236-2167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Mason, Brian A can be contacted via phone (313) 343-3494.

Contact Information

Primary practice address
22151 Moross Rd 313 Detroit MI 48236-2167
Fax: (313) 343-4932
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 4301061136 Michigan

Profile Details

NPI number 1952396780
LBN Legal business name Mason, Brian A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated May 12th, 2009 - about 15 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 1952396780 NPPES
Michigan MEDICAID 5216541
Michigan MEDICAID 4204241

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