Mashchak, Clarissa Ann

Mashchak, Clarissa Ann is an individual health care provider with primary practice located at 6401 Mountain View Rd Suite 101, Ooltewah TN 37363-6681. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Reproductive Endocrinology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Mashchak, Clarissa Ann can be contacted via phone (423) 495-5890.

Contact Information

Primary practice address
6401 Mountain View Rd Suite 101 Ooltewah TN 37363-6681
Phone: (423) 495-5890
Fax: (423) 495-5899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X MD0000018459 Tennessee
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD0000018459 Tennessee

Profile Details

NPI number 1245202183
LBN Legal business name Mashchak, Clarissa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2006
Last updated May 2nd, 2011 - about 15 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 1245202183 NPPES
Tennessee MEDICAID 3032078
Tennessee Other 4270474

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