Mahurin, Alonzo J
Mahurin, Alonzo J is an individual health care provider with primary practice located at 4371 Narrow Lane Rd Suite 100, Montgomery AL 36116-2971. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mahurin, Alonzo J can be contacted via phone (334) 613-3680.Contact Information
Primary practice address
4371 Narrow Lane Rd Suite 100
Montgomery AL 36116-2971
Phone: (334) 613-3680
Fax: (334) 613-3685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO210 | Alabama |
Profile Details
| NPI number | 1639146889 |
|---|---|
| LBN Legal business name | Mahurin, Alonzo J |
| Credentials | PHD., D.O. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Apr 9th, 2008 - about 16 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 | 1639146889 | NPPES |
| Alabama | Other | 630813275 | COMMERCIAL PRV |
| Alabama | Other | 01 11606 | COMMERCIAL PRV |
| Alabama | Other | 051008085 | COMMERCIAL PRV |
| Alabama | Other | 080141135 | COMMERCIAL PRV |
| Alabama | Other | 630813275 | COMMERCIAL PRV |
| Alabama | Other | 630813275 | COMMERCIAL PRV |
| Alabama | MEDICAID | 000008085 | COMMERCIAL PRV |
| Alabama | Other | 630813275 | COMMERCIAL PRV |
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