Moss, Sue
Moss, Sue is an sole proprietor health care provider with primary practice located at 2423 Williams Dr Suite 108, Georgetown TX 78628-3200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Moss, Sue can be contacted via phone (877) 800-5722.Contact Information
Primary practice address
2423 Williams Dr Suite 108
Georgetown TX 78628-3200
Phone: (877) 800-5722
Fax: (512) 869-8370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | HO662 | Texas |
Profile Details
| NPI number | 1013018597 |
|---|---|
| LBN Legal business name | Moss, Sue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Mar 23rd, 2015 - about 10 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 | 1013018597 | NPPES |
| Texas | Other | 00H81B | BCBS |
| Texas | Other | 75-248488875115 | BCBS |
| Texas | MEDICAID | 114987403 | BCBS |
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