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
Phone: (509) 248-6192
Fax: (509) 452-5433
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689673600 | NPPES |
Washington | Other | 10619 | LABOR & INDUSTRIES |
Washington | MEDICAID | 7107857 | LABOR & INDUSTRIES |
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