Masterson, Robert C

Masterson, Robert C is an individual health care provider with primary practice located at 1901 Mission 66 , Vicksburg MS 39180-3711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Masterson, Robert C can be contacted via phone (601) 636-8244.

Contact Information

Primary practice address
1901 Mission 66 Vicksburg MS 39180-3711
Phone: (601) 636-8244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14322 Mississippi

Profile Details

NPI number 1053358853
LBN Legal business name Masterson, Robert C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1053358853 NPPES
Mississippi MEDICAID 0115208

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