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Contact Information

DALE J MOSER
1520 N MCEWAN ST
CLARE, MI48617
 Phone: 989-386-2020
 Fax: 989-386-7308
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for DALE J MOSER · (Female)

NPI Number 1053615708
Status Active
Credentials
Entity Individual
Enumeration date 01/10/2011
Last updated 04/03/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 003085
  • MI License # 004640
  • MI License # 4901003085
  • MI Medicaid 1769910
  • MI Medicaid 1908862
  • MI Other 900A86500 BLUE CROSS BLUE SHIED
  • MI Other 0A86500 MEDICARE ID-INSPECIFIED
  • MI Other 410008233 RAIL ROAD MEDICARE
Hospital affiliation(s) Not Available
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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