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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740250620 | NPPES |
| North Carolina | Other | D9492 | MEDCOST |
| North Carolina | Other | 5947795 | MEDCOST |
| North Carolina | Other | 130GC | MEDCOST |
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