Provider Demographics
NPI:1336467554
Name:EXPERT CARE INC
Entity Type:Organization
Organization Name:EXPERT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:262-627-0995
Mailing Address - Street 1:889 S RAINBOW BLVD
Mailing Address - Street 2:#624
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-6238
Mailing Address - Country:US
Mailing Address - Phone:262-627-0995
Mailing Address - Fax:
Practice Address - Street 1:1111 E SUMNER ST
Practice Address - Street 2:SUITE A
Practice Address - City:HARTFORD
Practice Address - State:WI
Practice Address - Zip Code:53027-1609
Practice Address - Country:US
Practice Address - Phone:262-627-0995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI33535020207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty