Moritz, Deborah Lynne
Moritz, Deborah Lynne is an individual health care provider with primary practice located at 161 Cline Avenue , Mansfield OH 44907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Moritz, Deborah Lynne can be contacted via phone (419) 756-5739.Contact Information
Primary practice address
161 Cline Avenue
Mansfield OH 44907
Phone: (419) 756-5739
Fax: (419) 756-4968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35054857M | Ohio |
Profile Details
| NPI number | 1518063056 |
|---|---|
| LBN Legal business name | Moritz, Deborah Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | May 14th, 2014 - about 10 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 | 1518063056 | NPPES |
| Ohio | Other | 3600681818 | CLIA |
| Ohio | MEDICAID | 0856720 | CLIA |
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