Organization
COMMONHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BASIL MASHNI (OWNER)
(859) 806-3502
Entity
Organization
Contact information
Practice address
684 ELM ST, EMINENCE, KY 40019-6538
(502) 661-1444
Mailing address
PO BOX 55522, LEXINGTON, KY 40555-5522
(502) 661-1444
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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