Moxley, Clyde G.
Moxley, Clyde G. is an individual health care provider with primary practice located at 10 Amalia Dr Suite B-1, Buckhannon WV 26201-2271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moxley, Clyde G. can be contacted via phone (304) 473-2200.Contact Information
Primary practice address
10 Amalia Dr Suite B-1
Buckhannon WV 26201-2271
Phone: (304) 473-2200
Fax: (304) 473-2057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1846 | West Virginia |
Profile Details
| NPI number | 1730106592 |
|---|---|
| LBN Legal business name | Moxley, Clyde G. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1730106592 | NPPES |
| West Virginia | MEDICAID | 1000779000 |
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