Moss, Thomas H

Moss, Thomas H is an individual health care provider with primary practice located at 141 Ben Bolt Ave , Tazewell VA 24651-9700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Moss, Thomas H can be contacted via phone (276) 988-8700.

Contact Information

Primary practice address
141 Ben Bolt Ave Tazewell VA 24651-9700
Phone: (276) 988-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101252932 Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X E-4191 Arkansas

Profile Details

NPI number 1083698187
LBN Legal business name Moss, Thomas H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 30th, 2021 - about 5 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 1083698187 NPPES
Arizona Other AZ0201750 AZ BC/BS
Arizona MEDICAID 020537 AZ BC/BS

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