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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851395784 NPPES
Tennessee MEDICAID 3695900
Tennessee MEDICAID 008907528

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