Moss, William C

Moss, William C is an individual health care provider with primary practice located at 4150 Nelson Rd Ste G , Lake Charles LA 70605-4133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moss, William C can be contacted via phone (337) 562-3732.

Contact Information

Primary practice address
4150 Nelson Rd Ste G Lake Charles LA 70605-4133
Phone: (337) 562-3732
Fax: (337) 562-3699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD.019356 Louisiana

Profile Details

NPI number 1700996659
LBN Legal business name Moss, William C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 18th, 2019 - about 7 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 1700996659 NPPES
Louisiana Other 5R705C963 MEDICARE LEGACY
Louisiana MEDICAID 1967360 MEDICARE LEGACY

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