Moulton, David F
Moulton, David F is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste 240, Johnson City TN 37604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Moulton, David F can be contacted via phone (423) 794-5520.Contact Information
Primary practice address
301 Med Tech Pkwy Ste 240
Johnson City TN 37604
Phone: (423) 794-5520
Fax: (423) 282-6940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20674 | Tennessee |
Profile Details
| NPI number | 1407851603 |
|---|---|
| LBN Legal business name | Moulton, David F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | May 2nd, 2020 - about 4 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 | 1407851603 | NPPES |
| Tennessee | MEDICAID | 3052491 |
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