Mosher, Charles Hardy

Mosher, Charles Hardy is an individual health care provider with primary practice located at 8303 Dodge St , Omaha NE 68114-4108. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Mosher, Charles Hardy can be contacted via phone (402) 354-4540.

Contact Information

Primary practice address
8303 Dodge St Omaha NE 68114-4108
Phone: (402) 354-4540
Fax: (402) 354-4535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33649 Iowa
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 33649 Iowa
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 33649 Iowa

Profile Details

NPI number 1164492997
LBN Legal business name Mosher, Charles Hardy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Dec 17th, 2013 - about 12 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 1164492997 NPPES
Nebraska Other 1164492997 WELLMARK
Nebraska MEDICAID 470376604-22 WELLMARK
Nebraska MEDICAID 1164492997 WELLMARK

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