Moulton, Ronald Douglas

Moulton, Ronald Douglas is an individual health care provider with primary practice located at 231 Sutton St Suite 1C, North Andover MA 01845-1620. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Moulton, Ronald Douglas can be contacted via phone (978) 685-8059.

Contact Information

Primary practice address
231 Sutton St Suite 1C North Andover MA 01845-1620
Fax: (978) 685-6421
Website:

Health care specialties

Profile Details

NPI number 1356484786
LBN Legal business name Moulton, Ronald Douglas
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Dec 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356484786 NPPES
Massachusetts Other MOY65124 BLUE CROSS
Massachusetts MEDICAID 0345105 BLUE CROSS

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