Mohr, David Jeffrey
Mohr, David Jeffrey is an individual health care provider with primary practice located at 420 Avenue F , Bogalusa LA 70427-3600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mohr, David Jeffrey can be contacted via phone (985) 732-0058.Contact Information
Primary practice address
420 Avenue F
Bogalusa LA 70427-3600
Phone: (985) 732-0058
Fax: (985) 732-0019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301407174 | Michigan |
Profile Details
| NPI number | 1386687200 |
|---|---|
| LBN Legal business name | Mohr, David Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Apr 7th, 2021 - about 5 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 | 1386687200 | NPPES |
| Michigan | Other | 080D17690 | BLUE SHIELD |
| Michigan | MEDICAID | 3118953 | BLUE SHIELD |
| Michigan | Other | 4098967 | BLUE SHIELD |
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