Masters, Gary
Masters, Gary is an individual health care provider with primary practice located at 105 W Stone Dr Ste 3B, Kingsport TN 37660-3256. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Masters, Gary can be contacted via phone (423) 578-1541.Contact Information
Primary practice address
105 W Stone Dr Ste 3B
Kingsport TN 37660-3256
Phone: (423) 578-1541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LSW03239 | Tennessee |
Profile Details
| NPI number | 1851395784 |
|---|---|
| LBN Legal business name | Masters, Gary |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Sep 22nd, 2009 - about 15 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 | 1851395784 | NPPES |
| Tennessee | MEDICAID | 3695900 | |
| Tennessee | MEDICAID | 008907528 |
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