Moseson, Dane L.

Moseson, Dane L. is an individual health care provider with primary practice located at 1615 Delaware St Suite 200, Longview WA 98632-2310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moseson, Dane L. can be contacted via phone (360) 501-3500.

Contact Information

Primary practice address
1615 Delaware St Suite 200 Longview WA 98632-2310
Phone: (360) 501-3500
Fax: (360) 501-3555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00018261 Washington

Profile Details

NPI number 1396743530
LBN Legal business name Moseson, Dane L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Nov 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396743530 NPPES
Washington Other 8943480 CRIME VICTIMS
Washington MEDICAID 160721 CRIME VICTIMS
Washington Other 0217053 CRIME VICTIMS
Washington MEDICAID 8162703 CRIME VICTIMS

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