Individual
DR. JEREMY JAMES MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
348 MAIN ST, GREENVILLE, PA 16125-2608
(724) 588-5250
(724) 588-5253
Mailing address
100 SHENANGO AVE, SHARON, PA 16146-1503
(724) 588-5250
(724) 588-5253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34.011238
OH
207Q00000X
Family Medicine Physician
Primary
OS022110
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34.011238
OHIO MEDICAL LICENSE
OH
05
—
PENDING
—
OH
Enumeration date
06/23/2010
Last updated
05/18/2023
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