Moody, Keith J.
Moody, Keith J. is an individual health care provider with primary practice located at 1501 W Chisholm St , Alpena MI 49707-1401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Moody, Keith J. can be contacted via phone (989) 340-1211.Contact Information
Primary practice address
1501 W Chisholm St
Alpena MI 49707-1401
Phone: (989) 340-1211
Fax: (989) 340-1214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101008328 | Michigan |
Profile Details
| NPI number | 1356451942 |
|---|---|
| LBN Legal business name | Moody, Keith J. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Nov 19th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356451942 | NPPES |
| Michigan | Other | 1150900464 | HEALTH PLUS OF MI |
| Michigan | Other | 1006214 | HEALTH PLUS OF MI |
| Michigan | Other | 1150900464 | HEALTH PLUS OF MI |
| Michigan | Other | 1006214 | HEALTH PLUS OF MI |
| Michigan | MEDICAID | 4164290 | HEALTH PLUS OF MI |
| Michigan | Other | 110197522 | HEALTH PLUS OF MI |
| Michigan | Other | 16613 | HEALTH PLUS OF MI |
| Michigan | Other | 28233 | HEALTH PLUS OF MI |
| Michigan | Other | 4220040 | HEALTH PLUS OF MI |
| Michigan | Other | 50900464 | HEALTH PLUS OF MI |
| Michigan | Other | 1150900464 | HEALTH PLUS OF MI |
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