Moeller, Mark B

Moeller, Mark B is an individual health care provider with primary practice located at 137 Medical Lane , Pollocksville NC 28573. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Moeller, Mark B can be contacted via phone (252) 633-1010.

Contact Information

Primary practice address
137 Medical Lane Pollocksville NC 28573
Phone: (252) 633-1010
Fax: (252) 224-3071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25731 North Carolina
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 25731 North Carolina

Profile Details

NPI number 1053304097
LBN Legal business name Moeller, Mark B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 18th, 2022 - about 2 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 1053304097 NPPES
North Carolina MEDICAID 8959922
North Carolina Other 202672E
North Carolina Other 59922

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