Moss, Richard
Moss, Richard is an sole proprietor health care provider with primary practice located at 721 W 13Th St Suite 208, Jasper IN 47546-1855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Moss, Richard can be contacted via phone (812) 634-6666.Contact Information
Primary practice address
721 W 13Th St Suite 208
Jasper IN 47546-1855
Phone: (812) 634-6666
Fax: (812) 634-6669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | 01039795 | Indiana |
Profile Details
| NPI number | 1326097619 |
|---|---|
| LBN Legal business name | Moss, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2006 |
| Last updated | Oct 14th, 2020 - about 6 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 | 1326097619 | NPPES |
| Indiana | MEDICAID | 100110900A |
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