Mohan, Gerard H
Mohan, Gerard H is an individual health care provider with primary practice located at 450 S Willard St Suite 115, Cottonwood AZ 86326-6743. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mohan, Gerard H can be contacted via phone (928) 634-5551.Contact Information
Primary practice address
450 S Willard St Suite 115
Cottonwood AZ 86326-6743
Phone: (928) 634-5551
Fax: (928) 634-5604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP2009 | Arizona |
Profile Details
| NPI number | 1043302433 |
|---|---|
| LBN Legal business name | Mohan, Gerard H |
| Credentials | APRN-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Dec 8th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043302433 | NPPES |
| Arizona | MEDICAID | 042005 |
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