Perry, Noel Masters

Perry, Noel Masters is an individual health care provider with primary practice located at 1824 King St Suite 200, Jacksonville FL 32204-4735. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Perry, Noel Masters can be contacted via phone (904) 421-5586.

Contact Information

Primary practice address
1824 King St Suite 200 Jacksonville FL 32204-4735
Phone: (904) 421-5586
Fax: (904) 389-6748
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1787 Florida

Profile Details

NPI number 1871597567
LBN Legal business name Perry, Noel Masters
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 7th, 2016 - 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 1871597567 NPPES
Other 970017538 MEDICARE RAILROAD
MEDICAID 100000513B MEDICARE RAILROAD
MEDICAID 290019000 MEDICARE RAILROAD

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