Moulton, Mark Paul

Moulton, Mark Paul is an sole proprietor health care provider with primary practice located at 115 Main St , North Adams MA 01247-3409. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Moulton, Mark Paul can be contacted via phone (413) 662-2151.

Contact Information

Primary practice address
115 Main St North Adams MA 01247-3409
Fax: (413) 664-3283
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 119 Massachusetts

Profile Details

NPI number 1043339443
LBN Legal business name Moulton, Mark Paul
Credentials HIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
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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