Moussalli, Clarice
Moussalli, Clarice is an individual health care provider with primary practice located at 4374 New Town Ave Ste 100, Williamsburg VA 23188-2865. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Moussalli, Clarice can be contacted via phone (757) 259-1900.Contact Information
Primary practice address
4374 New Town Ave Ste 100
Williamsburg VA 23188-2865
Phone: (757) 259-1900
Fax: (757) 259-1901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0101035100 | Virginia |
Profile Details
| NPI number | 1487620035 |
|---|---|
| LBN Legal business name | Moussalli, Clarice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Jan 11th, 2012 - about 12 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 | 1487620035 | NPPES |
| Virginia | MEDICAID | 010163927 |
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