Mason, Richard Lee
Mason, Richard Lee is an sole proprietor health care provider with primary practice located at 1030 E 18Th St , Owensboro KY 42303-4733. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mason, Richard Lee can be contacted via phone (277) 240-5005.Contact Information
Primary practice address
1030 E 18Th St
Owensboro KY 42303-4733
Phone: (277) 240-5005
Fax: (270) 240-5007
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0441 | Kentucky |
Profile Details
NPI number | 1346289840 |
---|---|
LBN Legal business name | Mason, Richard Lee |
Credentials | CADC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 6th, 2006 |
Last updated | Nov 7th, 2013 - about 11 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 | 1346289840 | NPPES |
Kentucky | MEDICAID | 30605018 |
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