Mora, Parham
Mora, Parham is an individual health care provider with primary practice located at 645 Mcqueen Smith Rd N Suite 205, Prattville AL 36066-7268. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mora, Parham can be contacted via phone (334) 361-6126.Contact Information
Primary practice address
645 Mcqueen Smith Rd N Suite 205
Prattville AL 36066-7268
Phone: (334) 361-6126
Fax: (334) 361-6177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20392 | Alabama |
Profile Details
| NPI number | 1417915679 |
|---|---|
| LBN Legal business name | Mora, Parham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Aug 10th, 2009 - about 17 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 | 1417915679 | NPPES |
| Alabama | MEDICAID | 529909730 | |
| Alabama | Other | 51501010 | |
| Alabama | Other | 020048725 | |
| Alabama | MEDICAID | 051501010 |
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