Moss, Larry E

Moss, Larry E is an individual health care provider with primary practice located at 410 Birchwood Ave Ste 200, Bellingham WA 98225-1783. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Moss, Larry E can be contacted via phone (360) 734-9233.

Contact Information

Primary practice address
410 Birchwood Ave Ste 200 Bellingham WA 98225-1783
Fax: (360) 738-8974
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00030400 Washington

Profile Details

NPI number 1518962208
LBN Legal business name Moss, Larry E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Nov 17th, 2016 - about 8 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 1518962208 NPPES
Washington MEDICAID 8144339

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