Moss, Debra Lynne

Moss, Debra Lynne is an sole proprietor health care provider with primary practice located at 12929 Ballantine Ct , Saint Louis MO 63146-3701. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Moss, Debra Lynne can be contacted via phone (314) 628-9820.

Contact Information

Primary practice address
12929 Ballantine Ct Saint Louis MO 63146-3701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 113637 Missouri

Profile Details

NPI number 1437474202
LBN Legal business name Moss, Debra Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2010
Last updated Apr 5th, 2010 - about 15 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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