Moses, Michelle

Moses, Michelle is an individual health care provider with primary practice located at 675 N Matthews Rd , Lake City SC 29560-7027. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Moses, Michelle can be contacted via phone (843) 394-7419.

Contact Information

Primary practice address
675 N Matthews Rd Lake City SC 29560-7027
Phone: (843) 394-7419
Fax: (843) 661-4892
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1083739775
LBN Legal business name Moses, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083739775 NPPES
South Carolina MEDICAID 376241

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