Moioli, Eduardo K

Moioli, Eduardo K is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Moioli, Eduardo K can be contacted via phone (920) 288-8000.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311-6519
Phone: (920) 288-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036143292 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 22686 Wisconsin

Profile Details

NPI number 1154697274
LBN Legal business name Moioli, Eduardo K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2012
Last updated Feb 1st, 2023 - about 3 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 1154697274 NPPES
Wisconsin MEDICAID 100209209

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