Masterson, Russell

Masterson, Russell is an sole proprietor health care provider with primary practice located at 878 109Th Ave N , Naples FL 34108-1821. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Masterson, Russell can be contacted via phone (239) 596-8416.

Contact Information

Primary practice address
878 109Th Ave N Naples FL 34108-1821
Phone: (239) 596-8416
Fax: (239) 513-1915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X FL2435 Florida

Profile Details

NPI number 1851339220
LBN Legal business name Masterson, Russell
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2006
Last updated Sep 15th, 2008 - about 16 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 1851339220 NPPES
Florida Other 75199 BLUE CROSS BLUE SHIELD
Florida Other P00146358 BLUE CROSS BLUE SHIELD

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