Moulton, Samuel
Moulton, Samuel is an individual health care provider with primary practice located at 510 8Th Ave Ne Ste 200 , Issaquah WA 98029-5436. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Moulton, Samuel can be contacted via phone (425) 392-3030.Contact Information
Primary practice address
510 8Th Ave Ne Ste 200
Issaquah WA 98029-5436
Phone: (425) 392-3030
Fax: (425) 392-2564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD61435678 | Washington |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD61435678 | Washington |
Profile Details
| NPI number | 1043744527 |
|---|---|
| LBN Legal business name | Moulton, Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2017 |
| Last updated | Oct 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043744527 | NPPES |
| Washington | MEDICAID | 2082179 |
Popular Providers
-
Wahl, Christopher John
510 8Th Ave Ne Ste 200 , Issaquah WA 98029-5436 -
Park, Thomas M
3334 Capital Medical Blvd Ste. 400, Tallahassee FL 32308-8405 -
Nathe, Tyler J
510 8Th Ave Ne Ste 200 , Issaquah WA 98029-5436 -
Boone, David W
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Babins, David M
300 State St Ste 400A, Erie PA 16507-1427 -
Jordan, Steve E
1040 Gulf Breeze Pkwy Suite 200, Gulf Breeze FL 32561-7809 -
Ackerman, Timothy S
820 Sir Thomas Ct , Harrisburg PA 17109-4839 -
Rolle, Garrison A
3334 Capital Medical Blvd Ste 400, Tallahassee FL 32308-8405