Moffat, Douglas Howard

Moffat, Douglas Howard is an individual health care provider with primary practice located at 360 Forest Ave , Buffalo NY 14213-1205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moffat, Douglas Howard can be contacted via phone (716) 882-4900.

Contact Information

Primary practice address
360 Forest Ave Buffalo NY 14213-1205
Fax: (416) 882-4426
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 142675 New York

Profile Details

NPI number 1003804386
LBN Legal business name Moffat, Douglas Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003804386 NPPES
New York MEDICAID 00708338

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