Robert C Masterson Do Pa Inc

LBN: Robert C Masterson Do Pa Inc
Robert C Masterson Do Pa Inc is an health care organization with primary practice located at 1901 Mission 66 , Vicksburg MS 39180-3711. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Robert C Masterson Do Pa Inc can be contacted via phone (601) 636-0097, or through Masterson, Robert C via phone (601) 636-0097.

Contact Information

Primary practice address
1901 Mission 66 Vicksburg MS 39180-3711
Phone: (601) 636-0097
Fax: (601) 629-9969
Website:
Map and Directions
Authorized official contact:
Name: Masterson, Robert C Doctor of Osteopathy (DO)
Phone: (601) 636-0097

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14322 Mississippi

Profile Details

NPI number 1427112630
LBN Legal business name Robert C Masterson Do Pa Inc
DBA Doing business as
Authorized official Masterson, Robert C Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Jun 17th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427112630 NPPES
Mississippi MEDICAID 00115208

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