Mason, Marie S
Mason, Marie S is an sole proprietor health care provider with primary practice located at 154 W Main St Ste 1, Bridgeport WV 26330-1715. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Mason, Marie S can be contacted via phone (304) 842-0601.Contact Information
Primary practice address
154 W Main St Ste 1
Bridgeport WV 26330-1715
Phone: (304) 842-0601
Fax: (304) 842-0602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 677 | West Virginia |
Profile Details
| NPI number | 1578572160 |
|---|---|
| LBN Legal business name | Mason, Marie S |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Mar 10th, 2008 - about 16 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 | 1578572160 | NPPES |
| West Virginia | MEDICAID | 2202005000 |
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