Moe, Terrance D

Moe, Terrance D is an sole proprietor health care provider with primary practice located at 150 Hospital Rd , Eagle River WI 54521-8877. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Moe, Terrance D can be contacted via phone (715) 479-8887.

Contact Information

Primary practice address
150 Hospital Rd Eagle River WI 54521-8877
Phone: (715) 479-8887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 30319-020 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 30319-020 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30319-020 Wisconsin

Profile Details

NPI number 1851329429
LBN Legal business name Moe, Terrance D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated May 29th, 2008 - about 16 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 1851329429 NPPES
Wisconsin MEDICAID 31593800

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