Moss, Randall Evan

Moss, Randall Evan is an sole proprietor health care provider with primary practice located at 2050 Barb St , Silverdale WA 98315. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Moss, Randall Evan can be contacted via phone (360) 415-4347.

Contact Information

Primary practice address
2050 Barb St Silverdale WA 98315
Phone: (360) 415-4347
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1125502 California

Profile Details

NPI number 1912196221
LBN Legal business name Moss, Randall Evan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2007
Last updated Oct 29th, 2015 - about 9 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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