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
Phone: (608) 647-6321
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689621039 | NPPES |
Wisconsin | MEDICAID | 31539900 |
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