Moffe, Thomas Charles

Moffe, Thomas Charles is an individual health care provider with primary practice located at 1001 E Primrose , Springfield MO 65807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moffe, Thomas Charles can be contacted via phone (417) 875-3761.

Contact Information

Primary practice address
1001 E Primrose Springfield MO 65807
Phone: (417) 875-3761
Fax: (417) 875-3245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R7J30 Missouri

Profile Details

NPI number 1386683282
LBN Legal business name Moffe, Thomas Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 5th, 2012 - 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 1386683282 NPPES
Other 106984 BLUE CROSS/BLUE SHIELD
MEDICAID 202678207 BLUE CROSS/BLUE SHIELD

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