Mast, John J
Mast, John J is an individual health care provider with primary practice located at 418 Cloverleaf Rd , Elizabethtown PA 17022-9320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mast, John J can be contacted via phone (717) 653-1467.Contact Information
Primary practice address
418 Cloverleaf Rd
Elizabethtown PA 17022-9320
Phone: (717) 653-1467
Fax: (717) 653-1001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD066311L | Pennsylvania |
Profile Details
| NPI number | 1154392371 |
|---|---|
| LBN Legal business name | Mast, John J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Oct 25th, 2007 - about 19 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 | 1154392371 | NPPES |
| Pennsylvania | Other | 01886502 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | 43009 S101 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | P002671 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | 2149271 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | G79964 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | 516277 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | 5163765 | CAPITAL BLUE CROSS |
| Pennsylvania | MEDICAID | 0017331020001 | CAPITAL BLUE CROSS |
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