Masterson, Gilbert A

Masterson, Gilbert A is an individual health care provider with primary practice located at 1179 East Paris Ave Se Ste 100 , Grand Rapids MI 49546-3682. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Masterson, Gilbert A can be contacted via phone (616) 690-2690.

Contact Information

Primary practice address
1179 East Paris Ave Se Ste 100 Grand Rapids MI 49546-3682
Phone: (616) 690-2690
Fax: (616) 360-2034
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 4301062800 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35-127636 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301062800 Michigan

Profile Details

NPI number 1497740930
LBN Legal business name Masterson, Gilbert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Nov 12th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497740930 NPPES
Michigan MEDICAID 4305173

Popular Providers