Mastruserio, Dominic Neal

Mastruserio, Dominic Neal is an sole proprietor health care provider with primary practice located at 941 Chatham Lane Suite 323, Columbus OH 43221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Mastruserio, Dominic Neal can be contacted via phone (614) 442-6647.

Contact Information

Primary practice address
941 Chatham Lane Suite 323 Columbus OH 43221
Phone: (614) 442-6647
Fax: (614) 442-6648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35072392M Ohio

Profile Details

NPI number 1508818386
LBN Legal business name Mastruserio, Dominic Neal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Jan 28th, 2013 - about 11 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 1508818386 NPPES
Other 000000130128 ANTHEM
Other 0300516 ANTHEM
Other 2309291 ANTHEM

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