Moody, Thomas U.
Moody, Thomas U. is an individual health care provider with primary practice located at 21017 State Route 12F , Watertown NY 13601-1078. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Moody, Thomas U. can be contacted via phone (315) 786-3436.Contact Information
Primary practice address
21017 State Route 12F
Watertown NY 13601-1078
Phone: (315) 786-3436
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | OO9271 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 001884 | Connecticut |
Profile Details
| NPI number | 1467534396 |
|---|---|
| LBN Legal business name | Moody, Thomas U. |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1467534396 | NPPES |
| New York | Other | 4151147 | MVP HEALTHCARE PIN # |
Popular Providers
-
Charlebois, Melissa A
826 Washington St Suite 204, Watertown NY 13601-4063 -
Pickeral, Robert James
53-59 Public Sq Ste 301 , Watertown NY 13601-2674 -
Trickey, Lisa J
1340 Washington St , Watertown NY 13601-4541 -
Gilliam, Timothy W
1571 Washington Street Suite 201, Watertown NY 13601 -
Kerr, Abbey Frances
165 Coleman Ave , Watertown NY 13601-2217 -
Dwello, Lisa
160 Stone St , Watertown NY 13601-3261 -
Johnson, Katherine S.
1571 Washington St Suite 104, Watertown NY 13601-9304 -
Swatsworth, Susan Ranae
1575 Washington St , Watertown NY 13601-9371