Moschella, Michael G
Moschella, Michael G is an sole proprietor health care provider with primary practice located at 331 Main St , East Orange NJ 07017-1208. He recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as his primary health care specialty. Moschella, Michael G can be contacted via phone (973) 736-2244.Contact Information
Primary practice address
331 Main St
East Orange NJ 07017-1208
Phone: (973) 736-2244
Fax: (973) 736-2227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 45PO00013100 | New Jersey |
Profile Details
| NPI number | 1659442374 |
|---|---|
| LBN Legal business name | Moschella, Michael G |
| Credentials | CPO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659442374 | NPPES |
| New Jersey | Other | 3K4056 | HEALTHNET |
| New Jersey | MEDICAID | 8745501 | HEALTHNET |
| New Jersey | Other | 2900665 | HEALTHNET |
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