Individual
DR. JAMES RICHARD MORT
Active
Individual
DR. JAMES RICHARD MORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
#543
WV
111NR0400X
Rehabilitation Chiropractor
Primary
D.C.004661L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2284287
AETNA HMO
PA
01
—
4355211
AETNA PPO
PA
01
—
MO480376
HGS
PA
Enumeration date
10/10/2006
Last updated
07/08/2007
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