Mohr, Michael
Mohr, Michael is an sole proprietor health care provider with primary practice located at 700 W Ironwood Dr 320, Coeur D Alene ID 83814-2656. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mohr, Michael can be contacted via phone (208) 676-9913.Contact Information
Primary practice address
700 W Ironwood Dr 320
Coeur D Alene ID 83814-2656
Phone: (208) 676-9913
Fax: (208) 666-0885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1376694737 |
|---|---|
| LBN Legal business name | Mohr, Michael |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2007 |
| Last updated | Apr 19th, 2024 - about 7 months 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 | 1376694737 | NPPES |
| California | Other | PA18113 | LICENSE |
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