Moses, Walter Carl

Moses, Walter Carl is an sole proprietor health care provider with primary practice located at 202 W Park Ave , Greenwood MS 38930-3009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Moses, Walter Carl can be contacted via phone (662) 219-0044.

Contact Information

Primary practice address
202 W Park Ave Greenwood MS 38930-3009
Phone: (662) 219-0044
Fax: (662) 219-0045
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 3793-15 Mississippi

Profile Details

NPI number 1770977134
LBN Legal business name Moses, Walter Carl
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2015
Last updated Oct 15th, 2019 - about 6 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 1770977134 NPPES
Mississippi MEDICAID 07720764

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