Moody, John Lindsay

Moody, John Lindsay is an individual health care provider with primary practice located at 24961 Thompson Dr , Sedro Woolley WA 98284-8246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychosomatic Medicine, which is considered as his primary health care specialty. Moody, John Lindsay can be contacted via phone (360) 856-3115.

Contact Information

Primary practice address
24961 Thompson Dr Sedro Woolley WA 98284-8246
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X MD00016542 Washington

Profile Details

NPI number 1194948117
LBN Legal business name Moody, John Lindsay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 2007 - about 17 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 1194948117 NPPES
Washington Other 1045046 DSHS PROVER NUMBER

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