Michel Moten
Individual provider Active NPI Driver · Clinton, MD
NPI 1922829985 · NPPES record last updated Oct 22, 2024
Key facts
- NPI
- 1922829985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 6320 Clinton Way
Clinton, MD 20735-3925 - Phone
- (667) 280-0058
- NPI assigned
- Oct 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lala Logistics, LLC. | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
6320 Clinton Way
Clinton, MD 20735-3925
Mailing address
6320 Clinton Way
Clinton, MD 20735-3925
Phone (667) 280-0058
Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.