Moreno, Pedro Saul

Moreno, Pedro Saul is an sole proprietor health care provider with primary practice located at 1145 Highway 42 , Petal MS 39465-9740. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Moreno, Pedro Saul can be contacted via phone (601) 544-0500.

Contact Information

Primary practice address
1145 Highway 42 Petal MS 39465-9740
Phone: (601) 544-0500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X AT0038 Mississippi

Profile Details

NPI number 1134285273
LBN Legal business name Moreno, Pedro Saul
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2006
Last updated Jul 8th, 2007 - about 19 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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