Moody, Keith J.

Moody, Keith J. is an individual health care provider with primary practice located at 1501 W Chisholm St , Alpena MI 49707-1401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Moody, Keith J. can be contacted via phone (989) 340-1211.

Contact Information

Primary practice address
1501 W Chisholm St Alpena MI 49707-1401
Fax: (989) 340-1214
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101008328 Michigan

Profile Details

NPI number 1356451942
LBN Legal business name Moody, Keith J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 19th, 2014 - about 10 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 1356451942 NPPES
Michigan Other 1150900464 HEALTH PLUS OF MI
Michigan Other 1006214 HEALTH PLUS OF MI
Michigan Other 1150900464 HEALTH PLUS OF MI
Michigan Other 1006214 HEALTH PLUS OF MI
Michigan MEDICAID 4164290 HEALTH PLUS OF MI
Michigan Other 110197522 HEALTH PLUS OF MI
Michigan Other 16613 HEALTH PLUS OF MI
Michigan Other 28233 HEALTH PLUS OF MI
Michigan Other 4220040 HEALTH PLUS OF MI
Michigan Other 50900464 HEALTH PLUS OF MI
Michigan Other 1150900464 HEALTH PLUS OF MI

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