Mastronardi, Diego
Mastronardi, Diego is an individual health care provider with primary practice located at 201 Park St , Bowling Green KY 42101-1708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mastronardi, Diego can be contacted via phone (270) 783-3330.Contact Information
Primary practice address
201 Park St
Bowling Green KY 42101-1708
Phone: (270) 783-3330
Fax: (270) 936-6030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 33638 | Kentucky |
Profile Details
| NPI number | 1104822626 |
|---|---|
| LBN Legal business name | Mastronardi, Diego |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | May 17th, 2019 - about 5 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 | 1104822626 | NPPES |
| Kentucky | MEDICAID | 64336381 |
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