Moody, Peter Campbell

Moody, Peter Campbell is an individual health care provider with primary practice located at 1286 S Linden Rd , Flint MI 48532-3457. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Moody, Peter Campbell can be contacted via phone (810) 733-3780.

Contact Information

Primary practice address
1286 S Linden Rd Flint MI 48532-3457
Phone: (810) 733-3780
Fax: (810) 230-1672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301040461 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301040461 Michigan

Profile Details

NPI number 1346356102
LBN Legal business name Moody, Peter Campbell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jan 27th, 2011 - about 13 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 1346356102 NPPES
Michigan Other 02510801 BCBS
Michigan MEDICAID 4697529 BCBS

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