Moulton, Donald E

Moulton, Donald E is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-0000. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Orthopedic, Nursing Service Related Providers / Technician. Nursing Service Related Providers / Technician is his primary health care specialty. Moulton, Donald E can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-0000
Phone: (541) 267-5151
Fax: (541) 266-4541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 083026191RN Oregon
Nursing Service Providers / Orthopedic 163WX0800X 930064 Oregon
Nursing Service Related Providers / Technician 374700000X 930064 OT-SC Oregon

Profile Details

NPI number 1538294897
LBN Legal business name Moulton, Donald E
Credentials RN OTC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2007
Last updated Mar 23rd, 2010 - about 16 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 1538294897 NPPES
Oregon Other 1407812365 GROUP NPI NUMBER
Oregon Other 930635514 GROUP NPI NUMBER
Oregon Other R0000WFBTV GROUP NPI NUMBER

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