Moss, Brian W

Moss, Brian W is an individual health care provider with primary practice located at 1717 Arlington Ave , Caldwell ID 83605-4802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Moss, Brian W can be contacted via phone (208) 459-4641.

Contact Information

Primary practice address
1717 Arlington Ave Caldwell ID 83605-4802
Phone: (208) 459-4641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M-10302 Idaho

Profile Details

NPI number 1033384201
LBN Legal business name Moss, Brian W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Mar 28th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033384201 NPPES
Idaho MEDICAID 808048600

Popular Providers