Moehlen, Martin William

Moehlen, Martin William is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3175. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Transplant Hepatology, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Moehlen, Martin William can be contacted via phone (207) 662-0111.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3175
Phone: (207) 662-0111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD27256 Maine
Allopathic & Osteopathic Physicians / Transplant Hepatology 207RT0003X MD27256 Maine
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD27256 Maine

Profile Details

NPI number 1104006279
LBN Legal business name Moehlen, Martin William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2007
Last updated Jul 27th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104006279 NPPES
Mississippi MEDICAID 01554557
Mississippi MEDICAID 1079812

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