Moths, Bruce F.

Moths, Bruce F. is an individual health care provider with primary practice located at 333 E 2Nd St , Richland Center WI 53581-1914. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Moths, Bruce F. can be contacted via phone (608) 647-6321.

Contact Information

Primary practice address
333 E 2Nd St Richland Center WI 53581-1914
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28682 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 28682 Wisconsin

Profile Details

NPI number 1689621039
LBN Legal business name Moths, Bruce F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1689621039 NPPES
Wisconsin MEDICAID 31539900

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