Mastandrea, Joseph Robert
Mastandrea, Joseph Robert is an sole proprietor health care provider with primary practice located at 4441 Far Hills Ave , Kettering OH 45429-2405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mastandrea, Joseph Robert can be contacted via phone (937) 298-7351.Contact Information
Primary practice address
4441 Far Hills Ave
Kettering OH 45429-2405
Phone: (937) 298-7351
Fax: (937) 298-9458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34-003760 | Ohio |
Profile Details
| NPI number | 1649262924 |
|---|---|
| LBN Legal business name | Mastandrea, Joseph Robert |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Apr 6th, 2022 - about 4 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 | 1649262924 | NPPES |
| Ohio | MEDICAID | 0792763 |
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