Moen, Elaine K

Moen, Elaine K is an individual health care provider with primary practice located at 10590 N Meridian St , Indianapolis IN 46290-1028. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Moen, Elaine K can be contacted via phone (317) 338-6666.

Contact Information

Primary practice address
10590 N Meridian St Indianapolis IN 46290-1028
Phone: (317) 338-6666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01048322A Indiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 01048322A Indiana

Profile Details

NPI number 1649248006
LBN Legal business name Moen, Elaine K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jul 26th, 2022 - 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 1649248006 NPPES
Indiana MEDICAID 200178300

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