Moss, Sandra Dotson
Moss, Sandra Dotson is an sole proprietor health care provider with primary practice located at 290 Old Jackson Hwy 31E , Glasgow KY 42141. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moss, Sandra Dotson can be contacted via phone (270) 678-5740.Contact Information
Primary practice address
290 Old Jackson Hwy 31E
Glasgow KY 42141
Phone: (270) 678-5740
Fax: (270) 678-4701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 19876 | Kentucky |
Profile Details
| NPI number | 1720166523 |
|---|---|
| LBN Legal business name | Moss, Sandra Dotson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1720166523 | NPPES |
| Kentucky | MEDICAID | 64198765 | |
| Kentucky | Other | 000000045939 |
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