Mason, Jill M.

Mason, Jill M. is an individual health care provider with primary practice located at 2071 Herndon Ave , Clovis CA 93611-6101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mason, Jill M. can be contacted via phone (559) 324-5100.

Contact Information

Primary practice address
2071 Herndon Ave Clovis CA 93611-6101
Phone: (559) 324-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C51600 California

Profile Details

NPI number 1033297841
LBN Legal business name Mason, Jill M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 13th, 2021 - about 5 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 1033297841 NPPES
California MEDICAID 00C516000

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