Mason, Christopher C
Mason, Christopher C is an sole proprietor health care provider with primary practice located at 4106 W Lake Mary Blvd 125, Lake Mary FL 32746-3315. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Mason, Christopher C can be contacted via phone (497) 333-3668.Contact Information
Primary practice address
4106 W Lake Mary Blvd 125
Lake Mary FL 32746-3315
Phone: (497) 333-3668
Fax: (407) 333-0219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO1884 | Florida |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PO-0001884 | Florida |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | PO-0001884 | Florida |
Profile Details
| NPI number | 1710979554 |
|---|---|
| LBN Legal business name | Mason, Christopher C |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jul 9th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710979554 | NPPES |
| Other | 59-3027964 | TAXPAYER IDENTIFICATION NUMBER | |
| MEDICAID | 052045400 | TAXPAYER IDENTIFICATION NUMBER |
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