Masteller, Lori Victor
Masteller, Lori Victor is an sole proprietor health care provider with primary practice located at 6850 Lows Rd Ste 325, Bloomsburg PA 17815-8708. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Masteller, Lori Victor can be contacted via phone (570) 784-5545.Contact Information
Primary practice address
6850 Lows Rd Ste 325
Bloomsburg PA 17815-8708
Phone: (570) 784-5545
Fax: (570) 245-0240
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS010659L | Pennsylvania |
Profile Details
NPI number | 1841283538 |
---|---|
LBN Legal business name | Masteller, Lori Victor |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 26th, 2005 |
Last updated | Nov 29th, 2022 - about 2 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 | 1841283538 | NPPES |
Pennsylvania | Other | 2K3370 | MEDICARE (FAMILY PRACTICE CENTER PC) |
Pennsylvania | MEDICAID | 0019154280002 | MEDICARE (FAMILY PRACTICE CENTER PC) |
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