Mastrangelo, Michael J
Mastrangelo, Michael J is an sole proprietor health care provider with primary practice located at 2450 Ne Mary Rose Pl Suite 210, Bend OR 97701-7132. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mastrangelo, Michael J can be contacted via phone (541) 383-2200.Contact Information
Primary practice address
2450 Ne Mary Rose Pl Suite 210
Bend OR 97701-7132
Phone: (541) 383-2200
Fax: (541) 383-5170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD21444 | Oregon |
Profile Details
| NPI number | 1306802350 |
|---|---|
| LBN Legal business name | Mastrangelo, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Mar 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306802350 | NPPES |
| Oregon | MEDICAID | 297593 |
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