Moultrie, H Carl
Moultrie, H Carl is an individual health care provider with primary practice located at 255 E 90Th Dr Suite W1, Merrillville IN 46410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Moultrie, H Carl can be contacted via phone (219) 793-9029.Contact Information
Primary practice address
255 E 90Th Dr Suite W1
Merrillville IN 46410
Phone: (219) 793-9029
Fax: (219) 793-9101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01026965A | Indiana |
Profile Details
| NPI number | 1003815598 |
|---|---|
| LBN Legal business name | Moultrie, H Carl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Jul 8th, 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 | 1003815598 | NPPES |
| Other | 4513204 | AETNA | |
| Other | 000000186722 | AETNA |
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