Moffatt, Robert Keith

Moffatt, Robert Keith is an sole proprietor health care provider with primary practice located at 231 N Dos Caminos Ave , Ventura CA 93003-1660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moffatt, Robert Keith can be contacted via phone (805) 653-5070.

Contact Information

Primary practice address
231 N Dos Caminos Ave Ventura CA 93003-1660
Phone: (805) 653-5070
Fax: (805) 653-8099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G66963 California

Profile Details

NPI number 1952399974
LBN Legal business name Moffatt, Robert Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Apr 14th, 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 1952399974 NPPES
California MEDICAID 00G669630
California Other G66963

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