Masterson, Deann

Masterson, Deann is an individual health care provider with primary practice located at 171 Grandview Ave Suite 201, Waterbury CT 06708-2517. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Masterson, Deann can be contacted via phone (203) 578-4630.

Contact Information

Primary practice address
171 Grandview Ave Suite 201 Waterbury CT 06708-2517
Phone: (203) 578-4630
Fax: (203) 578-4629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002035 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2035 Connecticut

Profile Details

NPI number 1427230804
LBN Legal business name Masterson, Deann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2007
Last updated Jan 14th, 2015 - about 10 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 1427230804 NPPES
Connecticut Other 1062414 NCCPA

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