Moss, Richard A

Moss, Richard A is an individual health care provider with primary practice located at 4500 W 69Th St , Sioux Falls SD 57108-8148. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Moss, Richard A can be contacted via phone (605) 977-7000.

Contact Information

Primary practice address
4500 W 69Th St Sioux Falls SD 57108-8148
Phone: (605) 977-7000
Fax: (605) 977-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R014760 South Dakota

Profile Details

NPI number 1336135854
LBN Legal business name Moss, Richard A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 13th, 2026 - about 3 months 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 1336135854 NPPES
South Dakota MEDICAID 5751770
South Dakota Other 0008161

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