Moseley, Charles W

Moseley, Charles W is an individual health care provider with primary practice located at 1800 12Th St Suite 1A, Meridian MS 39301-4158. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Moseley, Charles W can be contacted via phone (601) 703-9231.

Contact Information

Primary practice address
1800 12Th St Suite 1A Meridian MS 39301-4158
Phone: (601) 703-9231
Fax: (601) 703-6794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R780571 Mississippi

Profile Details

NPI number 1568653095
LBN Legal business name Moseley, Charles W
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2007
Last updated Nov 8th, 2013 - 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 1568653095 NPPES
Mississippi MEDICAID 00486265

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