Moe, David C
Moe, David C is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Radiology, Milwaukee WI 53226-4874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. Moe, David C can be contacted via phone (414) 266-2523.Contact Information
Primary practice address
9000 W Wisconsin Ave Pediatric Radiology
Milwaukee WI 53226-4874
Phone: (414) 266-2523
Fax: (414) 266-1525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | MD00046543 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 47272 | Wisconsin |
Profile Details
| NPI number | 1952411779 |
|---|---|
| LBN Legal business name | Moe, David C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Mar 12th, 2024 - about 8 months 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 | 1952411779 | NPPES |
| Wisconsin | MEDICAID | 1952411779 |
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