Masters, Michael Jason
Masters, Michael Jason is an individual health care provider with primary practice located at 540 Hospital Dr , Clyde NC 28721-8027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Masters, Michael Jason can be contacted via phone (828) 456-7343.Contact Information
Primary practice address
540 Hospital Dr
Clyde NC 28721-8027
Phone: (828) 456-7343
Fax: (828) 452-0939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 26564 | North Carolina |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 26564 | North Carolina |
Profile Details
| NPI number | 1386639524 |
|---|---|
| LBN Legal business name | Masters, Michael Jason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Mar 25th, 2015 - about 9 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 | 1386639524 | NPPES |
| North Carolina | MEDICAID | 8954667 | |
| North Carolina | Other | 561473220 | |
| North Carolina | Other | 202801A | |
| North Carolina | Other | 54667 |
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