Mort, James Richard

Mort, James Richard is an sole proprietor health care provider with primary practice located at 107 Harrison Ave , Manor PA 15665-9721. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Mort, James Richard can be contacted via phone (724) 863-9982.

Contact Information

Primary practice address
107 Harrison Ave Manor PA 15665-9721
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X D.C.004661L Pennsylvania
Chiropractic Providers / Rehabilitation 111NR0400X #543 West Virginia

Profile Details

NPI number 1952499576
LBN Legal business name Mort, James Richard
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1952499576 NPPES
Pennsylvania Other 2284287 AETNA HMO
Pennsylvania Other MO480376 AETNA HMO
Pennsylvania Other 4355211 AETNA HMO

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