Provider Demographics
NPI:1265148415
Name:MASTERTON BILLING, LLC
Entity type:Organization
Organization Name:MASTERTON BILLING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICKY
Authorized Official - Middle Name:
Authorized Official - Last Name:MASTERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-289-1953
Mailing Address - Street 1:906 N ROCKFORD AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-3263
Mailing Address - Country:US
Mailing Address - Phone:815-289-1953
Mailing Address - Fax:815-397-4130
Practice Address - Street 1:906 N ROCKFORD AVE
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-3263
Practice Address - Country:US
Practice Address - Phone:815-289-1953
Practice Address - Fax:815-397-4130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty