Moyer, Johnny
Moyer, Johnny is an individual health care provider with primary practice located at 341A Whiteville Rd Nw , Shallotte NC 28470-4507. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Moyer, Johnny can be contacted via phone (910) 567-6194.Contact Information
Primary practice address
341A Whiteville Rd Nw
Shallotte NC 28470-4507
Phone: (910) 567-6194
Fax: (910) 567-5661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5014809 | North Carolina |
Profile Details
| NPI number | 1962825000 |
|---|---|
| LBN Legal business name | Moyer, Johnny |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2014 |
| Last updated | Apr 23rd, 2024 - about 2 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 | 1962825000 | NPPES |
| California | MEDICAID | 95000240 |
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