Moss, Renee Marie

Moss, Renee Marie is an sole proprietor health care provider with primary practice located at 1420 E 17Th St Suite E, Idaho Falls ID 83404-6283. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Moss, Renee Marie can be contacted via phone (208) 243-2668.

Contact Information

Primary practice address
1420 E 17Th St Suite E Idaho Falls ID 83404-6283
Phone: (208) 243-2668
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1376871335
LBN Legal business name Moss, Renee Marie
Credentials CMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2009
Last updated Dec 1st, 2009 - about 15 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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