Moss, Norman William

Moss, Norman William is an individual health care provider with primary practice located at 215 S 11Th Ave Suite D, Yakima WA 98902-3255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moss, Norman William can be contacted via phone (509) 248-6192.

Contact Information

Primary practice address
215 S 11Th Ave Suite D Yakima WA 98902-3255
Fax: (509) 452-5433
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00008347 Washington

Profile Details

NPI number 1689673600
LBN Legal business name Moss, Norman William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 11th, 2012 - about 13 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 1689673600 NPPES
Washington Other 10619 LABOR & INDUSTRIES
Washington MEDICAID 7107857 LABOR & INDUSTRIES

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