Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 30015580 | OH |
NPI | 1013023134 |
---|---|
Provider Name | Dr. Moses Joseph Scheingross |
First Address | Sandusky, OH 44870-2730 |
Second Address | Sandusky, OH 44870-2730 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 08/07/2007 |