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
Fax: (985) 732-0019
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386687200 NPPES
Michigan Other 080D17690 BLUE SHIELD
Michigan MEDICAID 3118953 BLUE SHIELD
Michigan Other 4098967 BLUE SHIELD

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