Moss, Michael Arthur

Moss, Michael Arthur is an individual health care provider with primary practice located at 724 Delaware Ave , Fountain Hill PA 18015-1108. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moss, Michael Arthur can be contacted via phone (800) 257-8715.

Contact Information

Primary practice address
724 Delaware Ave Fountain Hill PA 18015-1108
Phone: (800) 257-8715
Fax: (800) 819-1655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS007161L Pennsylvania

Profile Details

NPI number 1053358184
LBN Legal business name Moss, Michael Arthur
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Sep 15th, 2008 - about 18 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 1053358184 NPPES
Other 6100543 EVERCARE
MEDICAID 0015352780008 EVERCARE
Other 680013328 EVERCARE
Other 749181 EVERCARE

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