Moose, Durman William
Moose, Durman William is an sole proprietor health care provider with primary practice located at 1601 Abbey Pl Ste 105, Charlotte NC 28209-3835. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Moose, Durman William can be contacted via phone (704) 512-5360.Contact Information
Primary practice address
1601 Abbey Pl Ste 105
Charlotte NC 28209-3835
Phone: (704) 512-5360
Fax: (704) 512-5080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 32543 | North Carolina |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 32543 | North Carolina |
Profile Details
| NPI number | 1174635601 |
|---|---|
| LBN Legal business name | Moose, Durman William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Nov 9th, 2012 - about 14 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 | 1174635601 | NPPES |
| South Carolina | MEDICAID | N32543 | |
| South Carolina | MEDICAID | 8960533 |
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