Mora, Carl Shayne

Mora, Carl Shayne is an individual health care provider with primary practice located at 2980 Squalicum Pkwy Suite 301, Bellingham WA 98225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mora, Carl Shayne can be contacted via phone (360) 671-4944.

Contact Information

Primary practice address
2980 Squalicum Pkwy Suite 301 Bellingham WA 98225
Fax: (360) 738-4593
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00036443 Washington

Profile Details

NPI number 1891893327
LBN Legal business name Mora, Carl Shayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 14th, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891893327 NPPES
Washington MEDICAID 8228819

Popular Providers