Moss, Stephan Michael

Moss, Stephan Michael is an individual health care provider with primary practice located at 600 W Hospital Rd , Brigham City UT 84302-3006. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Moss, Stephan Michael can be contacted via phone (435) 734-2041.

Contact Information

Primary practice address
600 W Hospital Rd Brigham City UT 84302-3006
Phone: (435) 734-2041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 10566698-3102 Utah
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10566698-4405 Utah

Profile Details

NPI number 1063906857
LBN Legal business name Moss, Stephan Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2018
Last updated Nov 21st, 2018 - about 6 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 1063906857 NPPES
Utah Other 10566698-4405 LICENSE

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