Mahoney, Eamonn M
Mahoney, Eamonn M is an sole proprietor health care provider with primary practice located at 1485 N Turquoise Dr Suite 200, Flagstaff AZ 86001-1398. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Mahoney, Eamonn M can be contacted via phone (928) 774-7757.Contact Information
Primary practice address
1485 N Turquoise Dr Suite 200
Flagstaff AZ 86001-1398
Phone: (928) 774-7757
Fax: (928) 226-3071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 52804 | Arizona |
Profile Details
| NPI number | 1366626756 |
|---|---|
| LBN Legal business name | Mahoney, Eamonn M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2007 |
| Last updated | Sep 27th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366626756 | NPPES |
| Arizona | MEDICAID | 170672 |
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