Moorehead, Pamela
Moorehead, Pamela is an sole proprietor health care provider with primary practice located at 13549 N Sanders Rd , Marana AZ 85653. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Moorehead, Pamela can be contacted via phone (520) 682-1091.Contact Information
Primary practice address
13549 N Sanders Rd
Marana AZ 85653
Phone: (520) 682-1091
Fax: (520) 682-4132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC-10811 | Arizona |
Profile Details
| NPI number | 1063519791 |
|---|---|
| LBN Legal business name | Moorehead, Pamela |
| Credentials | LISAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2006 |
| Last updated | Jul 12th, 2012 - about 12 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 | 1063519791 | NPPES |
| Arizona | MEDICAID | 164462 |
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