Moss, Derek W

Moss, Derek W is an individual health care provider with primary practice located at 600 Beverly Hanks Ctr , Hendersonville NC 28792-2305. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Moss, Derek W can be contacted via phone (828) 693-3296.

Contact Information

Primary practice address
600 Beverly Hanks Ctr Hendersonville NC 28792-2305
Phone: (828) 693-3296
Fax: (828) 696-3530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 200101252 North Carolina
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1023078193
LBN Legal business name Moss, Derek W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jan 20th, 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 1023078193 NPPES
North Carolina MEDICAID 8985116

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