National Provider Identifier Database

MELISSA K MOSS MD LLC
Corporate Health


Contact Information

MELISSA K MOSS MD LLC
802 S 10TH ST STE C
LEESVILLE, LA71446-4662
Phone: 337-238-4189
Fax:
Website:
Specialty Taxonomy Code
* Corporate Health 261QC1800X

* Indicates primary specialty

NPI Profile & details for MELISSA K MOSS MD LLC

NPI Number 1801323001
Legal business name
LBN
MELISSA K MOSS MD LLC
Authorized official MELISSA MOSS - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 05/18/2017
Last updated 10/03/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • LA Medicaid: 1490067

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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