1386780534 NPI number — MR. WILLIAM WHITAKER MOOSE JR. RPH

Table of content: MR. WILLIAM WHITAKER MOOSE JR. RPH (NPI 1386780534)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386780534 NPI number — MR. WILLIAM WHITAKER MOOSE JR. RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MOOSE
Provider First Name:
WILLIAM
Provider Middle Name:
WHITAKER
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
RPH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386780534
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/03/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8374 W. FRANKLIN ST.
Provider Second Line Business Mailing Address:
PO BOX 67
Provider Business Mailing Address City Name:
MOUNT PLEASANT
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28124
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-436-9613
Provider Business Mailing Address Fax Number:
704-436-6512

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8374 W. FRANKLIN ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT PLEASANT
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-436-9613
Provider Business Practice Location Address Fax Number:
704-436-6512
Provider Enumeration Date:
01/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  09721 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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