Masillo, Chris S

Masillo, Chris S is an individual health care provider with primary practice located at 215 Stratton Rd , Rutland VT 05701-4621. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Masillo, Chris S can be contacted via phone (802) 773-3386.

Contact Information

Primary practice address
215 Stratton Rd Rutland VT 05701-4621
Phone: (802) 773-3386
Fax: (802) 773-4578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055-0030658 Vermont

Profile Details

NPI number 1063478865
LBN Legal business name Masillo, Chris S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Sep 11th, 2019 - about 7 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 1063478865 NPPES
Vermont MEDICAID 9000247

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