Mason, John Bohannon

Mason, John Bohannon is an individual health care provider with primary practice located at 2001 Vail Ave , Charlotte NC 28207-1219. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mason, John Bohannon can be contacted via phone (704) 323-2000.

Contact Information

Primary practice address
2001 Vail Ave Charlotte NC 28207-1219
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 93-00220 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 93-00220 North Carolina

Profile Details

NPI number 1356323257
LBN Legal business name Mason, John Bohannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jun 4th, 2010 - about 14 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 1356323257 NPPES
South Carolina MEDICAID N00220
South Carolina MEDICAID 8954898

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