Mossman, Jake

Mossman, Jake is an individual health care provider with primary practice located at 622 Paseo Del Pueblo Sur 5401 Ndcbu, Taos NM 87571-5101. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mossman, Jake can be contacted via phone (505) 758-3342.

Contact Information

Primary practice address
622 Paseo Del Pueblo Sur 5401 Ndcbu Taos NM 87571-5101
Phone: (505) 758-3342
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 4584 New Mexico

Profile Details

NPI number 1891756185
LBN Legal business name Mossman, Jake
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 8th, 2007 - about 17 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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