Mason, Roger Alan

Mason, Roger Alan is an sole proprietor health care provider with primary practice located at 614 N Martin St , Warren AR 71671-1904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mason, Roger Alan can be contacted via phone (870) 466-4400.

Contact Information

Primary practice address
614 N Martin St Warren AR 71671-1904
Fax: (870) 466-4556
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X E-3485 Arkansas
Allopathic & Osteopathic Physicians / Surgery 208600000X E-3485 Arkansas

Profile Details

NPI number 1508198201
LBN Legal business name Mason, Roger Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2010
Last updated Apr 7th, 2021 - about 5 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 1508198201 NPPES
Arkansas MEDICAID 149615001

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