Moser, Brad Robert
Moser, Brad Robert is an sole proprietor health care provider with primary practice located at 775 Prairie Center Dr Suite 250, Eden Prairie MN 55344-7314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Moser, Brad Robert can be contacted via phone (952) 944-2519.Contact Information
Primary practice address
775 Prairie Center Dr Suite 250
Eden Prairie MN 55344-7314
Phone: (952) 944-2519
Fax: (952) 944-0460
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 44775 | Minnesota |
Profile Details
NPI number | 1770699555 |
---|---|
LBN Legal business name | Moser, Brad Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 22nd, 2006 |
Last updated | Jul 10th, 2007 - about 18 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 | 1770699555 | NPPES |
Other | HP40350 | HEALTHPARTNERS | |
Other | 328M7MO | HEALTHPARTNERS | |
Other | 969991031808 | HEALTHPARTNERS | |
Other | 118708 | HEALTHPARTNERS |
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