Mora, Phillip Adam
Mora, Phillip Adam is an individual health care provider with primary practice located at 933 Bradbury Dr Se Ste 2222 , Albuquerque NM 87106-4375. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Mora, Phillip Adam can be contacted via phone (505) 544-6265.Contact Information
Primary practice address
933 Bradbury Dr Se Ste 2222
Albuquerque NM 87106-4375
Phone: (505) 544-6265
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Other Service Providers / Peer Specialist | 175T00000X | ||
Other Service Providers / Peer Specialist | 175T00000X | 1077 | New Mexico |
Profile Details
NPI number | 1639770639 |
---|---|
LBN Legal business name | Mora, Phillip Adam |
Credentials | CPSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 5th, 2020 |
Last updated | Nov 9th, 2020 - 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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