Moody, Antonio
Moody, Antonio is an sole proprietor health care provider with primary practice located at 7474 Greenbelt Center Drive , Greenbelt MD 20770. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Moody, Antonio can be contacted via phone (240) 304-3327.Contact Information
Primary practice address
7474 Greenbelt Center Drive
Greenbelt MD 20770
Phone: (240) 304-3327
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LGP9282 | Maryland |
Profile Details
| NPI number | 1245884519 |
|---|---|
| LBN Legal business name | Moody, Antonio |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2019 |
| Last updated | Jul 25th, 2019 - about 5 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 | 1245884519 | NPPES |
| Maryland | MEDICAID | 101YP2500X |
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