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Contact Information

JEAN T. MASTERSON, D.P.M.
2000 16TH ST STE 3
GREELEY, CO80631-5149
 Phone: 970-352-4815
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JEAN T. MASTERSON, D.P.M.

NPI # 1669642443
LBN Legal business name JEAN T. MASTERSON, D.P.M.
Authorized official JEAN MASTERSON - (OWNNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2008
Last updated 03/07/2008 - About 18 years ago
Identifiers
CO Medicaid 01003706
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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