Individual
DR. MICHAEL W MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
529 E MAIN ST, BRIDGEPORT, WV 26330-1824
(304) 842-4202
(304) 842-6480
Mailing address
529 E MAIN ST, BRIDGEPORT, WV 26330-1824
(304) 842-4202
(304) 842-6480
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
777
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001713618
MTN. STATE BCBS RENDERING
WV
05
—
PENDING
—
WV
Enumeration date
05/31/2006
Last updated
11/24/2008
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