Moise, Carl

Moise, Carl is an sole proprietor health care provider with primary practice located at 104 Market St , Brockton MA 02301-6736. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Moise, Carl can be contacted via phone (617) 462-6733.

Contact Information

Primary practice address
104 Market St Brockton MA 02301-6736
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1194155747
LBN Legal business name Moise, Carl
Credentials ACCOUNTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2013
Last updated Nov 19th, 2013 - about 12 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 1194155747 NPPES
Massachusetts MEDICAID 4220
Massachusetts Other 422014

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