Mason, Douglas E

Mason, Douglas E is an individual health care provider with primary practice located at 950 Route 146 , Clifton Park NY 12065-3667. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Mason, Douglas E can be contacted via phone (518) 383-0302.

Contact Information

Primary practice address
950 Route 146 Clifton Park NY 12065-3667
Phone: (518) 383-0302
Fax: (518) 373-2298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N006379 New York
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016-004384 Illinois

Profile Details

NPI number 1124125562
LBN Legal business name Mason, Douglas E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 19th, 2016 - about 9 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 1124125562 NPPES
Illinois Other 0060201289 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 03293698 BLUE CROSS BLUE SHIELD
Illinois Other N006379 BLUE CROSS BLUE SHIELD

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