Mohr, Riley

Mohr, Riley is an sole proprietor health care provider with primary practice located at 5511 Rainbow Cir , Santa Rosa CA 95409-4377. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Mohr, Riley can be contacted via phone (707) 328-0752.

Contact Information

Primary practice address
5511 Rainbow Cir Santa Rosa CA 95409-4377
Phone: (707) 328-0752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1255949822
LBN Legal business name Mohr, Riley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2020
Last updated Jul 20th, 2020 - 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 1255949822 NPPES
California MEDICAID 16612044

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