Massullo-Schubert, Sandra
Massullo-Schubert, Sandra is an individual health care provider with primary practice located at 1230 Clark St Ste A , Cambridge OH 43725-9611. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Massullo-Schubert, Sandra can be contacted via phone (740) 439-7772.Contact Information
Primary practice address
1230 Clark St Ste A
Cambridge OH 43725-9611
Phone: (740) 439-7772
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35067486 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35067486 | Ohio |
Profile Details
| NPI number | 1023062700 |
|---|---|
| LBN Legal business name | Massullo-Schubert, Sandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Nov 10th, 2016 - about 8 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 | 1023062700 | NPPES |
| Ohio | MEDICAID | 0238942 |
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