Moose, Durman William

Moose, Durman William is an sole proprietor health care provider with primary practice located at 1601 Abbey Pl Ste 105, Charlotte NC 28209-3835. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Moose, Durman William can be contacted via phone (704) 512-5360.

Contact Information

Primary practice address
1601 Abbey Pl Ste 105 Charlotte NC 28209-3835
Phone: (704) 512-5360
Fax: (704) 512-5080
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 32543 North Carolina
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 32543 North Carolina

Profile Details

NPI number 1174635601
LBN Legal business name Moose, Durman William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Nov 9th, 2012 - about 12 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 1174635601 NPPES
South Carolina MEDICAID N32543
South Carolina MEDICAID 8960533

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