Moosally, Robert T

Moosally, Robert T is an individual health care provider with primary practice located at 667 Eastland Ave Se , Warren OH 44484-4503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Moosally, Robert T can be contacted via phone (330) 841-4000.

Contact Information

Primary practice address
667 Eastland Ave Se Warren OH 44484-4503
Phone: (330) 841-4000
Fax: (330) 841-4007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34007710 Ohio

Profile Details

NPI number 1013993419
LBN Legal business name Moosally, Robert T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jun 12th, 2008 - 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 1013993419 NPPES
Ohio Other 000000385522 ANTHEM
Ohio MEDICAID 2374989 ANTHEM
Ohio Other 001965500-0003 ANTHEM
Ohio Other 000000383091 ANTHEM

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