Morales Mitti, Carlos M

Morales Mitti, Carlos M is an sole proprietor health care provider with primary practice located at 1207 Chestnut St 5Th Floor, Philadelphia PA 19107-4101. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Morales Mitti, Carlos M can be contacted via phone (215) 851-1822.

Contact Information

Primary practice address
1207 Chestnut St 5Th Floor Philadelphia PA 19107-4101
Fax: (215) 851-1775
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1740416320
LBN Legal business name Morales Mitti, Carlos M
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2009
Last updated Jun 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740416320 NPPES
Pennsylvania MEDICAID 101708256

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