Mason, Robert
Mason, Robert is an individual health care provider with primary practice located at 11315 Bridgeport Way Sw , Lakewood WA 98499-3004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mason, Robert can be contacted via phone (253) 984-6403.Contact Information
Primary practice address
11315 Bridgeport Way Sw
Lakewood WA 98499-3004
Phone: (253) 984-6403
Fax: (253) 985-2948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 1037 | Nevada |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 5101026897 | Michigan |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | OP60102300 | Washington |
Profile Details
| NPI number | 1043296031 |
|---|---|
| LBN Legal business name | Mason, Robert |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Feb 19th, 2024 - about 2 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 | 1043296031 | NPPES |
| Washington | MEDICAID | 2179745 | |
| Washington | MEDICAID | 002018481 |
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