Moe, Vicky Marie
Moe, Vicky Marie is an individual health care provider with primary practice located at 345 10Th Ave , Granite Falls MN 56241-1442. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moe, Vicky Marie can be contacted via phone (320) 564-6200.Contact Information
Primary practice address
345 10Th Ave
Granite Falls MN 56241-1442
Phone: (320) 564-6200
Fax: (320) 313-3386
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 53724 | Michigan |
Profile Details
| NPI number | 1265662431 |
|---|---|
| LBN Legal business name | Moe, Vicky Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2009 |
| Last updated | Mar 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265662431 | NPPES |
| Minnesota | MEDICAID | 1265662431 |
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