Masternick, Colleen T

Masternick, Colleen T is an individual health care provider with primary practice located at 8135 Market St , Youngstown OH 44512-6244. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Masternick, Colleen T can be contacted via phone (330) 758-0900.

Contact Information

Primary practice address
8135 Market St Youngstown OH 44512-6244
Phone: (330) 758-0900
Fax: (330) 758-2790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN-165483 Ohio

Profile Details

NPI number 1013984749
LBN Legal business name Masternick, Colleen T
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Apr 10th, 2019 - about 5 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 1013984749 NPPES
Ohio Other 000000644312 ANTHEM BCBS
Ohio MEDICAID 0770205 ANTHEM BCBS
Ohio Other 8246361 ANTHEM BCBS
Ohio Other 11932484 ANTHEM BCBS

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