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Contact Information

RICHARD MOSS, MD
721 W 13TH ST
SUITE 208
JASPER, IN47546-1855
 Phone: 812-634-6666
 Fax: 812-634-6669
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for RICHARD MOSS · (Male)

NPI Number 1326097619
Status Active
Credentials MD
Entity Individual
Enumeration date 05/06/2006
Last updated 10/14/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01039795
  • IN Medicaid 100110900A
Hospital affiliation(s)
  • DAVIESS COMMUNITY HOSPITAL - (Acute Care)
    1314 E WALNUT ST
    WASHINGTON, IN 47501
  • MEMORIAL HOSPITAL AND HEALTH CARE CENTER - (Acute Care)
    800 W 9TH ST
    JASPER, IN 47546
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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