Moline, Michael Thomas

Moline, Michael Thomas is an sole proprietor health care provider with primary practice located at 125 College Dr , Casper WY 82601-4612. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Moline, Michael Thomas can be contacted via phone (307) 268-2259.

Contact Information

Primary practice address
125 College Dr Casper WY 82601-4612
Phone: (307) 268-2259
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 010 Wyoming

Profile Details

NPI number 1750426870
LBN Legal business name Moline, Michael Thomas
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Dec 5th, 2011 - 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 1750426870 NPPES
Wyoming Other 010 ATHLETIC TRAINER
Wyoming Other 96002362 ATHLETIC TRAINER

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