Moss, Madonna Ann
Moss, Madonna Ann is an individual health care provider with primary practice located at 1435 Us Hwy 90 W , Lake City FL 32025. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moss, Madonna Ann can be contacted via phone (386) 487-1757.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW4606 | Florida |
Profile Details
| NPI number | 1144489808 |
|---|---|
| LBN Legal business name | Moss, Madonna Ann |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2008 |
| Last updated | Jun 6th, 2008 - about 16 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 | 1144489808 | NPPES |
| Florida | Other | ISW4606 | FLORIDA DEPT OF HEALTH |
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