Mastin, Keith Brian

Mastin, Keith Brian is an individual health care provider with primary practice located at 6845 Lee Ave N , Brooklyn Center MN 55429-1717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mastin, Keith Brian can be contacted via phone (763) 503-4400.

Contact Information

Primary practice address
6845 Lee Ave N Brooklyn Center MN 55429-1717
Phone: (763) 503-4400
Fax: (763) 503-4395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27701 Minnesota

Profile Details

NPI number 1619942943
LBN Legal business name Mastin, Keith Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Dec 28th, 2015 - 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 1619942943 NPPES
Minnesota MEDICAID 802272100

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