Mostrom, Paul A.

Mostrom, Paul A. is an sole proprietor health care provider with primary practice located at 5001 N Piedras St , El Paso TX 79930-4210. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mostrom, Paul A. can be contacted via phone (915) 564-6100.

Contact Information

Primary practice address
5001 N Piedras St El Paso TX 79930-4210
Phone: (915) 564-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 011404 New York
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 011404 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 011404 New York
Behavioral Health & Social Service Providers / Forensic 103TF0200X 011404 New York
Behavioral Health & Social Service Providers / Health 103TH0004X 011404 New York

Profile Details

NPI number 1336312412
LBN Legal business name Mostrom, Paul A.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2008
Last updated Aug 12th, 2015 - about 9 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 1336312412 NPPES
New York MEDICAID 01605669

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