Twena, Mordechai Ferris
Twena, Mordechai Ferris is an sole proprietor health care provider with primary practice located at 5659 E Grant Rd , Tucson AZ 85712-2211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Twena, Mordechai Ferris can be contacted via phone (520) 731-3317.Contact Information
Primary practice address
5659 E Grant Rd
Tucson AZ 85712-2211
Phone: (520) 731-3317
Fax: (520) 731-1933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 27566 | Arizona |
Profile Details
| NPI number | 1114982618 |
|---|---|
| LBN Legal business name | Twena, Mordechai Ferris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Jan 10th, 2017 - about 8 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 | 1114982618 | NPPES |
| Arizona | Other | AZ0847420 | BLUE CROSS BLUE SHIELD |
| Arizona | Other | 1Z4750 | BLUE CROSS BLUE SHIELD |
| Arizona | MEDICAID | 473512 | BLUE CROSS BLUE SHIELD |
| Arizona | Other | 770002185 | BLUE CROSS BLUE SHIELD |
| Arizona | Other | 770002185 | BLUE CROSS BLUE SHIELD |
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