Moss, Larry

Moss, Larry is an individual health care provider with primary practice located at 2225 N Mccarran Blvd , Sparks NV 89431-3365. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Moss, Larry can be contacted via phone (775) 359-1199.

Contact Information

Primary practice address
2225 N Mccarran Blvd Sparks NV 89431-3365
Fax: (775) 359-1195
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 265 Nevada

Profile Details

NPI number 1780867671
LBN Legal business name Moss, Larry
Credentials PT, CFP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2007
Last updated Sep 7th, 2021 - about 3 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 1780867671 NPPES
Nevada MEDICAID 003416275

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