Prince, Mozita

Prince, Mozita is an individual health care provider with primary practice located at 9915 E 63Rd St Ste E , Raytown MO 64133-5021. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Prince, Mozita can be contacted via phone (816) 982-9713.

Contact Information

Primary practice address
9915 E 63Rd St Ste E Raytown MO 64133-5021
Phone: (816) 982-9713
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1790279933
LBN Legal business name Prince, Mozita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2018
Last updated Jun 20th, 2018 - about 7 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 1790279933 NPPES
Missouri MEDICAID 82-4832247

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