Moffatt, Rohan

Moffatt, Rohan is an individual health care provider with primary practice located at 15 E Frederick St , Walkersville MD 21793-8234. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Moffatt, Rohan can be contacted via phone (301) 898-5200.

Contact Information

Primary practice address
15 E Frederick St Walkersville MD 21793-8234
Phone: (301) 898-5200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X D0070752 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0070752 Maryland

Profile Details

NPI number 1780850917
LBN Legal business name Moffatt, Rohan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2008
Last updated Dec 27th, 2021 - about 3 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 1780850917 NPPES
Maryland Other 974971 01 BLUE SHIELD MARYLAND
Maryland Other 0018 BLUE SHIELD MARYLAND
Maryland MEDICAID 043920700 BLUE SHIELD MARYLAND

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