Moller, Cody W

Moller, Cody W is an individual health care provider with primary practice located at 210 Main St , Waterville ME 04901-6116. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Moller, Cody W can be contacted via phone (207) 877-9004.

Contact Information

Primary practice address
210 Main St Waterville ME 04901-6116
Phone: (207) 877-9004
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X PI46432 Maine
Pharmacy Service Providers / Pharmacist 183500000X PR69999 Maine

Profile Details

NPI number 1568956985
LBN Legal business name Moller, Cody W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2018
Last updated Jan 29th, 2021 - about 5 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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