Mason, Mijikai

Mason, Mijikai is an sole proprietor health care provider with primary practice located at 2011 S 25Th St Ste 108 , Fort Pierce FL 34947-4795. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Mason, Mijikai can be contacted via phone (772) 242-1079.

Contact Information

Primary practice address
2011 S 25Th St Ste 108 Fort Pierce FL 34947-4795
Fax: (772) 242-1296
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1659078715
LBN Legal business name Mason, Mijikai
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2023
Last updated Feb 9th, 2023 - about 3 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 1659078715 NPPES
Florida Other 101YM0800X 101YM0800X

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