Moseley, Lynne Marie

Moseley, Lynne Marie is an individual health care provider with primary practice located at 30021 Greenfield Rd , Southfield MI 48076-1509. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Moseley, Lynne Marie can be contacted via phone (248) 594-8777.

Contact Information

Primary practice address
30021 Greenfield Rd Southfield MI 48076-1509
Phone: (248) 594-8777
Fax: (248) 594-9779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901014118 Michigan

Profile Details

NPI number 1992755136
LBN Legal business name Moseley, Lynne Marie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992755136 NPPES
Michigan MEDICAID 4752030
Michigan Other D141180

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