Mast, Vivian

Mast, Vivian is an individual health care provider with primary practice located at 2418 Blue Ridge Rd Suite 100, Raleigh NC 27607-6480. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mast, Vivian can be contacted via phone (919) 782-5954.

Contact Information

Primary practice address
2418 Blue Ridge Rd Suite 100 Raleigh NC 27607-6480
Phone: (919) 782-5954
Fax: (919) 859-9444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8793 North Carolina

Profile Details

NPI number 1740250620
LBN Legal business name Mast, Vivian
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1740250620 NPPES
North Carolina Other D9492 MEDCOST
North Carolina Other 5947795 MEDCOST
North Carolina Other 130GC MEDCOST

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