Masterson, Gilbert A

Masterson, Gilbert A is an individual health care provider with primary practice located at 15146 16Th Ave , Marne MI 49435-9605. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Masterson, Gilbert A can be contacted via phone (616) 520-9075.

Contact Information

Primary practice address
15146 16Th Ave Marne MI 49435-9605
Phone: (616) 520-9075
Fax: (616) 341-6013
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35-127636 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301062800 Michigan
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 4301062800 Michigan

Profile Details

NPI number 1497740930
LBN Legal business name Masterson, Gilbert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Feb 7th, 2023 - about 2 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 1497740930 NPPES
Michigan MEDICAID 4305173

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