Mason, Michael W

Mason, Michael W is an sole proprietor health care provider with primary practice located at 529 E Main St , Bridgeport WV 26330-1824. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mason, Michael W can be contacted via phone (304) 842-4202.

Contact Information

Primary practice address
529 E Main St Bridgeport WV 26330-1824
Fax: (304) 842-6480
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 777 West Virginia

Profile Details

NPI number 1891732962
LBN Legal business name Mason, Michael W
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Nov 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891732962 NPPES
West Virginia Other 001713618 MTN. STATE BCBS RENDERING
West Virginia MEDICAID PENDING MTN. STATE BCBS RENDERING

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