Moogerfeld, Brian A
Moogerfeld, Brian A is an sole proprietor health care provider with primary practice located at 1088A Bermuda Run , Statesboro GA 30458-0858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Moogerfeld, Brian A can be contacted via phone (912) 681-7111.Contact Information
Primary practice address
1088A Bermuda Run
Statesboro GA 30458-0858
Phone: (912) 681-7111
Fax: (912) 871-7794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 051598 | Georgia |
Profile Details
| NPI number | 1235287004 |
|---|---|
| LBN Legal business name | Moogerfeld, Brian A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Oct 19th, 2020 - about 4 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 | 1235287004 | NPPES |
| Georgia | MEDICAID | 594331017B | |
| Georgia | MEDICAID | 594331017A |
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