Moffett, Eric
Moffett, Eric is an sole proprietor health care provider with primary practice located at 4080 E Lake Mead Blvd Ste B-111 , Las Vegas NV 89115-6466. He recently has only one registered license in Agencies / In Home Supportive Care, which is considered as his primary health care specialty. Moffett, Eric can be contacted via phone (702) 629-8226.Contact Information
Primary practice address
4080 E Lake Mead Blvd Ste B-111
Las Vegas NV 89115-6466
Phone: (702) 629-8226
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X |
Profile Details
| NPI number | 1265070726 |
|---|---|
| LBN Legal business name | Moffett, Eric |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2019 |
| Last updated | Dec 16th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265070726 | NPPES |
| Nevada | MEDICAID | 7026298226 |
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