Mora, Allison

Mora, Allison is an sole proprietor health care provider with primary practice located at 2115 W Park Dr , Lorain OH 44053-1138. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mora, Allison can be contacted via phone (440) 989-4900.

Contact Information

Primary practice address
2115 W Park Dr Lorain OH 44053-1138
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1790220077
LBN Legal business name Mora, Allison
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2016
Last updated Mar 25th, 2024 - about 2 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 1790220077 NPPES
Ohio MEDICAID 0217925

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