Moffic, Hillard S

Moffic, Hillard S is an individual health care provider with primary practice located at Campus Clinic - Tosa Center 1155 North Mayfair Road, Milwaukee WI 53226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Moffic, Hillard S can be contacted via phone (414) 805-3666.

Contact Information

Primary practice address
Campus Clinic - Tosa Center 1155 North Mayfair Road Milwaukee WI 53226
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 30070 Wisconsin

Profile Details

NPI number 1932150687
LBN Legal business name Moffic, Hillard S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 28th, 2010 - about 16 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 1932150687 NPPES
Wisconsin MEDICAID 31519300

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