Provider Demographics
NPI:1417981374
Name:MASON, ROBERT N (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:N
Last Name:MASON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7940 WILLIAMS POND LN
Mailing Address - Street 2:SUITE 225
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-8766
Mailing Address - Country:US
Mailing Address - Phone:980-406-3862
Mailing Address - Fax:
Practice Address - Street 1:7940 WILLIAMS POND LN STE 225
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-8411
Practice Address - Country:US
Practice Address - Phone:980-406-3862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3729111N00000X
NC4135111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCV09733Medicare UPIN
NC4182991Medicare PIN