Moussa, Christine R

Moussa, Christine R is an sole proprietor health care provider with primary practice located at 5150 E. Glenn St. , Tuscon AZ 85712-1337. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Moussa, Christine R can be contacted via phone (520) 795-7729.

Contact Information

Primary practice address
5150 E. Glenn St. Tuscon AZ 85712-1337
Phone: (520) 795-7729
Fax: (520) 795-4177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X R2132 Arizona
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 007132 Arizona

Profile Details

NPI number 1023372950
LBN Legal business name Moussa, Christine R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2012
Last updated Sep 15th, 2020 - about 6 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 1023372950 NPPES
Arizona MEDICAID 405518

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