Moen, Douglas L.

Moen, Douglas L. is an individual health care provider with primary practice located at 2700 State St , Bismarck ND 58503-0669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moen, Douglas L. can be contacted via phone (701) 530-6000.

Contact Information

Primary practice address
2700 State St Bismarck ND 58503-0669
Phone: (701) 530-6000
Fax: (701) 530-6430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5348 North Dakota

Profile Details

NPI number 1477506137
LBN Legal business name Moen, Douglas L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 15th, 2023 - about last year

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 1477506137 NPPES
North Dakota Other 080174392 MEDICARE RAILROAD
North Dakota MEDICAID 15348 MEDICARE RAILROAD

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