Moss, Barry M

Moss, Barry M is an individual health care provider with primary practice located at 30840 Northwestern Hwy Ste 300, Farmington Hills MI 48334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Moss, Barry M can be contacted via phone (248) 932-1250.

Contact Information

Primary practice address
30840 Northwestern Hwy Ste 300 Farmington Hills MI 48334
Fax: (248) 932-8977
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301035120 Michigan

Profile Details

NPI number 1164404133
LBN Legal business name Moss, Barry M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164404133 NPPES
Michigan Other 700F319250 BLUE SHIELD
Michigan MEDICAID 1164404133 BLUE SHIELD

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