Moua, Souriya
Moua, Souriya is an sole proprietor health care provider with primary practice located at 7637 Old Viking Blvd Nw , Anoka MN 55303-9714. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Moua, Souriya can be contacted via phone (507) 530-4501.Contact Information
Primary practice address
7637 Old Viking Blvd Nw
Anoka MN 55303-9714
Phone: (507) 530-4501
Fax: (763) 559-1195
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | A1907 | Minnesota |
Profile Details
NPI number | 1710754049 |
---|---|
LBN Legal business name | Moua, Souriya |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 6th, 2023 |
Last updated | Dec 22nd, 2023 - about 2 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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