Masterson, Phillip J.
Masterson, Phillip J. is an individual health care provider with primary practice located at 461 W Huron St Nomc Emergency Center, Pontiac MI 48341-1601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Masterson, Phillip J. can be contacted via phone (248) 857-7440.Contact Information
Primary practice address
461 W Huron St Nomc Emergency Center
Pontiac MI 48341-1601
Phone: (248) 857-7440
Fax: (248) 857-6992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4301406121 | Michigan |
Profile Details
| NPI number | 1104873579 |
|---|---|
| LBN Legal business name | Masterson, Phillip J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Jan 23rd, 2012 - about 12 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 | 1104873579 | NPPES |
| Michigan | MEDICAID | 104405849 |
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