Moss, Casey Nelson
Moss, Casey Nelson is an individual health care provider with primary practice located at 1817 W Morris Blvd , Morristown TN 37813-2837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Moss, Casey Nelson can be contacted via phone (423) 581-3904.Contact Information
Primary practice address
1817 W Morris Blvd
Morristown TN 37813-2837
Phone: (423) 581-3904
Fax: (423) 581-6120
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 41698 | Tennessee |
Profile Details
NPI number | 1811057888 |
---|---|
LBN Legal business name | Moss, Casey Nelson |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 11th, 2006 |
Last updated | Nov 8th, 2018 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811057888 | NPPES |
Tennessee | MEDICAID | 3833133 | |
Tennessee | Other | 4145794 | |
Tennessee | Other | 4145794 |
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