Moede, Allan J

Moede, Allan J is an individual health care provider with primary practice located at 205 Hospital Dr Suite A, Mc Kenzie TN 38201-1649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Moede, Allan J can be contacted via phone (731) 352-7907.

Contact Information

Primary practice address
205 Hospital Dr Suite A Mc Kenzie TN 38201-1649
Phone: (731) 352-7907
Fax: (731) 352-4459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD55243 Tennessee

Profile Details

NPI number 1871582007
LBN Legal business name Moede, Allan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jan 11th, 2017 - about 8 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 1871582007 NPPES
Tennessee Other 3380640 GROUP MEDICAID
Tennessee Other 3380640 GROUP MEDICAID

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