Morgunoff, Andre
Morgunoff, Andre is an sole proprietor health care provider with primary practice located at 18 Price Ln , Palm Coast FL 32164-7417. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Morgunoff, Andre can be contacted via phone (609) 335-1351.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1710327754 |
|---|---|
| LBN Legal business name | Morgunoff, Andre |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2013 |
| Last updated | Jul 3rd, 2013 - about 12 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 | 1710327754 | NPPES |
| Florida | MEDICAID | 28616097 |
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