Mora, Ricardo
Mora, Ricardo is an individual health care provider with primary practice located at 404 N Acadia Rd , Thibodaux LA 70301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Mora, Ricardo can be contacted via phone (985) 447-3889.Contact Information
Primary practice address
404 N Acadia Rd
Thibodaux LA 70301
Phone: (985) 447-3889
Fax: (985) 446-2483
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 012206 | Louisiana |
Profile Details
| NPI number | 1346212032 |
|---|---|
| LBN Legal business name | Mora, Ricardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jan 29th, 2009 - about 15 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 | 1346212032 | NPPES |
| Louisiana | MEDICAID | 1135798 |
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