Moss, Michael Maurice
Moss, Michael Maurice is an individual health care provider with primary practice located at 520 S 7Th St , Vincennes IN 47591-1038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Moss, Michael Maurice can be contacted via phone (812) 882-6717.Contact Information
Primary practice address
520 S 7Th St
Vincennes IN 47591-1038
Phone: (812) 882-6717
Fax: (812) 882-8620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01036367 | Indiana |
Profile Details
| NPI number | 1164536470 |
|---|---|
| LBN Legal business name | Moss, Michael Maurice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Oct 7th, 2010 - about 14 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 | 1164536470 | NPPES |
| Indiana | MEDICAID | 100327340 |
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