Moeller, Albert C

Moeller, Albert C is an sole proprietor health care provider with primary practice located at 737 N Grand Ave , Lansing MI 48906-5160. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Moeller, Albert C can be contacted via phone (517) 372-0500.

Contact Information

Primary practice address
737 N Grand Ave Lansing MI 48906-5160
Phone: (517) 372-0500
Fax: (517) 482-3220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301039169 Michigan
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 4301039169 Michigan

Profile Details

NPI number 1750365359
LBN Legal business name Moeller, Albert C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Sep 20th, 2011 - about 13 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 1750365359 NPPES
Michigan MEDICAID 2624686

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