Moses, Alexander Earl
Moses, Alexander Earl is an individual health care provider with primary practice located at 1027 Washington Ave , Detroit Lakes MN 56501-3409. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Moses, Alexander Earl can be contacted via phone (218) 847-5611.Contact Information
Primary practice address
1027 Washington Ave
Detroit Lakes MN 56501-3409
Phone: (218) 847-5611
Fax: (218) 847-0881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3400 | Minnesota |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 727 | North Dakota |
Profile Details
| NPI number | 1063797116 |
|---|---|
| LBN Legal business name | Moses, Alexander Earl |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2011 |
| Last updated | Dec 29th, 2015 - about 11 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 | 1063797116 | NPPES |
| Minnesota | MEDICAID | 1063797116 |
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