Masterson, Michael

Masterson, Michael is an individual health care provider with primary practice located at 631 Willow Creek Rd , Leicester NC 28748-5646. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Masterson, Michael can be contacted via phone (828) 318-0148.

Contact Information

Primary practice address
631 Willow Creek Rd Leicester NC 28748-5646
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13775 North Carolina

Profile Details

NPI number 1962816017
LBN Legal business name Masterson, Michael
Credentials CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2014
Last updated Jun 17th, 2014 - about 10 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 1962816017 NPPES
North Carolina Other 13775 NCSAPPB

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