Masterson, Clinton James

Masterson, Clinton James is an individual health care provider with primary practice located at 2170 South Ave , South Lake Tahoe CA 96150-7026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Masterson, Clinton James can be contacted via phone (530) 541-3420.

Contact Information

Primary practice address
2170 South Ave South Lake Tahoe CA 96150-7026
Phone: (530) 541-3420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 234413 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 44775 Colorado
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A100433 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 12330 Nevada
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M7408 Texas

Profile Details

NPI number 1407067168
LBN Legal business name Masterson, Clinton James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Oct 19th, 2020 - 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 1407067168 NPPES
Nevada MEDICAID 1407067168
Nevada MEDICAID 1407067168

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