Moorehead, Oterrious L
Moorehead, Oterrious L is an individual health care provider with primary practice located at 4744 We Ross Pkwy Apt 52-104 , Southaven MS 38671-7007. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Moorehead, Oterrious L can be contacted via phone (601) 622-0555.Contact Information
Primary practice address
4744 We Ross Pkwy Apt 52-104
Southaven MS 38671-7007
Phone: (601) 622-0555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-21-175696 | Tennessee |
Profile Details
| NPI number | 1750020368 |
|---|---|
| LBN Legal business name | Moorehead, Oterrious L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2022 |
| Last updated | Jun 1st, 2022 - about 4 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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