Moylan, Laura Loomer
Moylan, Laura Loomer is an sole proprietor health care provider with primary practice located at 1930 Braeburn Dr Suite B, Salem VA 24153-7391. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Moylan, Laura Loomer can be contacted via phone (540) 776-6800.Contact Information
Primary practice address
1930 Braeburn Dr Suite B
Salem VA 24153-7391
Phone: (540) 776-6800
Fax: (540) 776-2919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101044609 | Virginia |
Profile Details
| NPI number | 1235192527 |
|---|---|
| LBN Legal business name | Moylan, Laura Loomer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2006 |
| Last updated | Oct 22nd, 2010 - about 15 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 | 1235192527 | NPPES |
| Virginia | Other | 54-1832336 | TAX ID # |
| Virginia | MEDICAID | 6209718 | TAX ID # |
| Virginia | Other | 282028 | TAX ID # |
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