Mora, Carl Shayne
Mora, Carl Shayne is an individual health care provider with primary practice located at 2980 Squalicum Pkwy Suite 301, Bellingham WA 98225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mora, Carl Shayne can be contacted via phone (360) 671-4944.Contact Information
Primary practice address
2980 Squalicum Pkwy Suite 301
Bellingham WA 98225
Phone: (360) 671-4944
Fax: (360) 738-4593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD00036443 | Washington |
Profile Details
| NPI number | 1891893327 |
|---|---|
| LBN Legal business name | Mora, Carl Shayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Sep 14th, 2016 - about 10 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 | 1891893327 | NPPES |
| Washington | MEDICAID | 8228819 |
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