Moffitt, Debra

Moffitt, Debra is an individual health care provider with primary practice located at 200 W Ross Blvd , Dodge City KS 67801-7221. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moffitt, Debra can be contacted via phone (620) 371-7300.

Contact Information

Primary practice address
200 W Ross Blvd Dodge City KS 67801-7221
Phone: (620) 371-7300
Fax: (620) 371-7304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1828 Kansas

Profile Details

NPI number 1386600781
LBN Legal business name Moffitt, Debra
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 1st, 2010 - about 14 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 1386600781 NPPES
Kansas MEDICAID 200366440A

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