Mason, Melissa Eakin

Mason, Melissa Eakin is an individual health care provider with primary practice located at 3410 Indian School Rd Ne , Albuquerque NM 87106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mason, Melissa Eakin can be contacted via phone (505) 265-7817.

Contact Information

Primary practice address
3410 Indian School Rd Ne Albuquerque NM 87106
Fax: (505) 266-1543
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2003-0520 New Mexico

Profile Details

NPI number 1851398804
LBN Legal business name Mason, Melissa Eakin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Jun 15th, 2011 - about 13 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 1851398804 NPPES
New Mexico MEDICAID 37559052

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