Mason, Mysha K
Mason, Mysha K is an individual health care provider with primary practice located at 915 Highland Blvd , Bozeman MT 59715-6902. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Mason, Mysha K can be contacted via phone (406) 414-5000.Contact Information
Primary practice address
915 Highland Blvd
Bozeman MT 59715-6902
Phone: (406) 414-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DR.0055187 | Colorado |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 118012 | Montana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0055187 | Colorado |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 118012 | Montana |
Profile Details
| NPI number | 1316213887 |
|---|---|
| LBN Legal business name | Mason, Mysha K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2012 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316213887 | NPPES |
| Colorado | MEDICAID | 26339200 | |
| Colorado | Other | 026288 |
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