Moretti, Thomas P.

Moretti, Thomas P. is an individual health care provider with primary practice located at 500 Arcade Ave Suite 400, Elkhart IN 46514-2477. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Moretti, Thomas P. can be contacted via phone (574) 522-2284.

Contact Information

Primary practice address
500 Arcade Ave Suite 400 Elkhart IN 46514-2477
Phone: (574) 522-2284
Fax: (574) 522-3952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001037A Indiana

Profile Details

NPI number 1447406426
LBN Legal business name Moretti, Thomas P.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2008
Last updated Dec 6th, 2017 - about 7 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 1447406426 NPPES
Indiana Other P01153860 RR MEDICARE
Indiana MEDICAID 300008492 RR MEDICARE
Indiana Other 000000634026 RR MEDICARE

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