Mason, William Van Horn
Mason, William Van Horn is an sole proprietor health care provider with primary practice located at 800 Carlisle Pl Se , Albuquerque NM 87108-4371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Mason, William Van Horn can be contacted via phone (505) 265-1164.Contact Information
Primary practice address
800 Carlisle Pl Se
Albuquerque NM 87108-4371
Phone: (505) 265-1164
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 6544 | New Mexico |
Profile Details
| NPI number | 1104816727 |
|---|---|
| LBN Legal business name | Mason, William Van Horn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jun 16th, 2009 - about 15 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 | 1104816727 | NPPES |
| New Mexico | MEDICAID | 06742 |
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