Mason, Raymond Gregory

Mason, Raymond Gregory is an sole proprietor health care provider with primary practice located at 128 E Milltown Rd Suite 205, Wooster OH 44691-6109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mason, Raymond Gregory can be contacted via phone (330) 345-2008.

Contact Information

Primary practice address
128 E Milltown Rd Suite 205 Wooster OH 44691-6109
Fax: (330) 345-0056
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35077914M Ohio

Profile Details

NPI number 1609874403
LBN Legal business name Mason, Raymond Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2005
Last updated Jan 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 1609874403 NPPES
Ohio MEDICAID 2211645

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