Mason, Charles W

Mason, Charles W is an individual health care provider with primary practice located at 920 Oliver Rd , Monroe LA 71201-5702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mason, Charles W can be contacted via phone (318) 807-4730.

Contact Information

Primary practice address
920 Oliver Rd Monroe LA 71201-5702
Fax: (318) 812-6450
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 017714 Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 017714 Louisiana

Profile Details

NPI number 1124039193
LBN Legal business name Mason, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Feb 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124039193 NPPES
Louisiana MEDICAID 1347744

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