Carolyn C Moats, M.D. Plc

LBN: Carolyn C Moats, M.D. Plc
Carolyn C Moats, M.D. Plc is an health care organization with primary practice located at 207 Circle Dr , Traverse City MI 49684-2347. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Carolyn C Moats, M.D. Plc can be contacted via phone (231) 933-8805, or through Starkey, Penny via phone (231) 933-8805.

Contact Information

Primary practice address
207 Circle Dr Traverse City MI 49684-2347
Phone: (231) 933-8805
Fax: (231) 933-8872
Website:
Map and Directions
Authorized official contact:
Name: Starkey, Penny
Phone: (231) 933-8805

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 074827 Michigan

Profile Details

NPI number 1447436480
LBN Legal business name Carolyn C Moats, M.D. Plc
DBA Doing business as
Authorized official Starkey, Penny
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2008
Last updated Feb 1st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447436480 NPPES
Michigan MEDICAID 4678167
Michigan Other 0802810481

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