Mastelou-Page, Emily

Mastelou-Page, Emily is an individual health care provider with primary practice located at 7950 W Jefferson Blvd , Fort Wayne IN 46804-4140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Mastelou-Page, Emily can be contacted via phone (260) 435-7001.

Contact Information

Primary practice address
7950 W Jefferson Blvd Fort Wayne IN 46804-4140
Phone: (260) 435-7001
Fax: (260) 435-7632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 71010707A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 28230844A Indiana

Profile Details

NPI number 1538717848
LBN Legal business name Mastelou-Page, Emily
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2019
Last updated Mar 9th, 2021 - about 3 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 1538717848 NPPES
Indiana MEDICAID 300047177

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