Moss, Brian Harris
Moss, Brian Harris is an sole proprietor health care provider with primary practice located at 415 W Golf Rd Suite 68, Arlington Heights IL 60005-3929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Moss, Brian Harris can be contacted via phone (847) 593-5511.Contact Information
Primary practice address
415 W Golf Rd Suite 68
Arlington Heights IL 60005-3929
Phone: (847) 593-5511
Fax: (847) 593-0872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 20A11514 | California |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 5101016864 | Michigan |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036130220 | Illinois |
Profile Details
| NPI number | 1013134394 |
|---|---|
| LBN Legal business name | Moss, Brian Harris |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 10th, 2024 - about 2 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 | 1013134394 | NPPES |
| Illinois | Other | 1615125 | BCBS OF IL |
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