Moline, Michael Thomas
Moline, Michael Thomas is an sole proprietor health care provider with primary practice located at 125 College Dr , Casper WY 82601-4612. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Moline, Michael Thomas can be contacted via phone (307) 268-2259.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 010 | Wyoming |
Profile Details
| NPI number | 1750426870 |
|---|---|
| LBN Legal business name | Moline, Michael Thomas |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Dec 5th, 2011 - 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 | 1750426870 | NPPES |
| Wyoming | Other | 010 | ATHLETIC TRAINER |
| Wyoming | Other | 96002362 | ATHLETIC TRAINER |
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