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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 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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