Moulin, Josh Charles
Moulin, Josh Charles is an sole proprietor health care provider with primary practice located at 721 W Kansas , Greensburg KS 67054. He recently has 2 registered licenses in different health care specialties including Hospitals / Rural, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Moulin, Josh Charles can be contacted via phone (620) 723-4217.Contact Information
Primary practice address
721 W Kansas
Greensburg KS 67054
Phone: (620) 723-4217
Fax: (620) 508-2067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Rural | 282NR1301X | T01460 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1501214 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 15-01214 | Kansas |
Profile Details
| NPI number | 1053503458 |
|---|---|
| LBN Legal business name | Moulin, Josh Charles |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2007 |
| Last updated | Oct 24th, 2023 - about 3 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 | 1053503458 | NPPES |
| Kansas | Other | 427174 | MEDICARE ID UNSPECIFIED |
| Kansas | MEDICAID | 200439900A | MEDICARE ID UNSPECIFIED |
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