Moss, Charles Joseph

Moss, Charles Joseph is an individual health care provider with primary practice located at 715 N Weber St , Colorado Springs CO 80903-1091. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Moss, Charles Joseph can be contacted via phone (719) 473-6115.

Contact Information

Primary practice address
715 N Weber St Colorado Springs CO 80903-1091
Phone: (719) 473-6115
Fax: (719) 472-2577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 21451 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA0841 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN.0992028-CRNA Colorado

Profile Details

NPI number 1962486829
LBN Legal business name Moss, Charles Joseph
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Jan 29th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962486829 NPPES
Colorado MEDICAID 07107485

Popular Providers