Bain, James Mason

Bain, James Mason is an individual health care provider with primary practice located at 106 19Th Ave Suite 103, Moline IL 61265-3700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bain, James Mason can be contacted via phone (309) 779-7068.

Contact Information

Primary practice address
106 19Th Ave Suite 103 Moline IL 61265-3700
Phone: (309) 779-7068
Fax: (309) 558-7026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036105037 Illinois

Profile Details

NPI number 1912979147
LBN Legal business name Bain, James Mason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jan 15th, 2014 - about 12 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 1912979147 NPPES
Illinois MEDICAID 036105037
Illinois MEDICAID 1912979147

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