Moench, Keith A

Moench, Keith A is an individual health care provider with primary practice located at 640 Jackson St Healthpartners Regions Specialty Clinics - Mc 11102D, St. Paul MN 55101-2502. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Moench, Keith A can be contacted via phone (651) 254-4783.

Contact Information

Primary practice address
640 Jackson St Healthpartners Regions Specialty Clinics - Mc 11102D St. Paul MN 55101-2502
Phone: (651) 254-4783
Fax: (651) 254-2085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 52609 Minnesota

Profile Details

NPI number 1861635435
LBN Legal business name Moench, Keith A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2009
Last updated Oct 29th, 2012 - about 12 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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