Moylan, Laura Loomer

Moylan, Laura Loomer is an sole proprietor health care provider with primary practice located at 1930 Braeburn Dr Suite B, Salem VA 24153-7391. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Moylan, Laura Loomer can be contacted via phone (540) 776-6800.

Contact Information

Primary practice address
1930 Braeburn Dr Suite B Salem VA 24153-7391
Phone: (540) 776-6800
Fax: (540) 776-2919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101044609 Virginia

Profile Details

NPI number 1235192527
LBN Legal business name Moylan, Laura Loomer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2006
Last updated Oct 22nd, 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 1235192527 NPPES
Virginia Other 54-1832336 TAX ID #
Virginia MEDICAID 6209718 TAX ID #
Virginia Other 282028 TAX ID #

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