Moffitt, James W

Moffitt, James W is an individual health care provider with primary practice located at 200 W Ross Blvd , Dodge City KS 67801-7221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Moffitt, James W can be contacted via phone (620) 371-7300.

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-28121 Kansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0428121 Kansas

Profile Details

NPI number 1346205929
LBN Legal business name Moffitt, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated May 13th, 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 1346205929 NPPES
Kansas MEDICAID 100342330H
Kansas MEDICAID 100342330L
Kansas Other 100989
Kansas MEDICAID 100342330F

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