Mogor, John Richard

Mogor, John Richard is an individual health care provider with primary practice located at 7128 Fulton St E , Ada MI 49301-8413. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mogor, John Richard can be contacted via phone (616) 825-3530.

Contact Information

Primary practice address
7128 Fulton St E Ada MI 49301-8413
Phone: (616) 825-3530
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301063084 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301063084 Michigan

Profile Details

NPI number 1518932839
LBN Legal business name Mogor, John Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Mar 26th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518932839 NPPES
Michigan MEDICAID 3062947
Michigan Other 110110939
Michigan Other 0D14849

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