Moulton, Barbara J

Moulton, Barbara J is an individual health care provider with primary practice located at 2220 E 25Th St , Idaho Falls ID 83404-7542. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Moulton, Barbara J can be contacted via phone (208) 523-1122.

Contact Information

Primary practice address
2220 E 25Th St Idaho Falls ID 83404-7542
Fax: (208) 523-2582
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X D311 Idaho

Profile Details

NPI number 1275552978
LBN Legal business name Moulton, Barbara J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 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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