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:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 1770977134 | NPPES |
| Mississippi | MEDICAID | 07720764 |
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