Moss, William A.
Moss, William A. is an sole proprietor health care provider with primary practice located at 3601 Canyon Lake Dr , Rapid City SD 57702-3305. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moss, William A. can be contacted via phone (605) 341-8647.Contact Information
Primary practice address
3601 Canyon Lake Dr
Rapid City SD 57702-3305
Phone: (605) 341-8647
Fax: (605) 341-0489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 416 | South Dakota |
Profile Details
| NPI number | 1629048483 |
|---|---|
| LBN Legal business name | Moss, William A. |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Oct 7th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629048483 | NPPES |
| South Dakota | MEDICAID | 6551862 |
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