Moffett, Shawn

Moffett, Shawn is an sole proprietor health care provider with primary practice located at 2133 Pepperrell St , Lackland Afb TX 78236-5313. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Moffett, Shawn can be contacted via phone (210) 292-3789.

Contact Information

Primary practice address
2133 Pepperrell St Lackland Afb TX 78236-5313
Phone: (210) 292-3789
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7318 Oklahoma
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 7318 Oklahoma

Profile Details

NPI number 1558981829
LBN Legal business name Moffett, Shawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2020
Last updated Aug 11th, 2023 - about last year

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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