Moss, Roger B

Moss, Roger B is an individual health care provider with primary practice located at 823 Sw Mulvane St Suite 210, Topeka KS 66606-1679. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Moss, Roger B can be contacted via phone (785) 235-3451.

Contact Information

Primary practice address
823 Sw Mulvane St Suite 210 Topeka KS 66606-1679
Phone: (785) 235-3451
Fax: (785) 235-1435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 54697 Kansas
Nursing Service Providers / Registered Nurse 163W00000X 54697 Kansas

Profile Details

NPI number 1285698662
LBN Legal business name Moss, Roger B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Sep 3rd, 2008 - about 16 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 1285698662 NPPES
Kansas MEDICAID 100357700A
Kansas Other 145473
Kansas MEDICAID 100357700D

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