Moment, Ebonique

Moment, Ebonique is an sole proprietor health care provider with primary practice located at 1000 Blythe Blvd , Charlotte NC 28203-5812. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Moment, Ebonique can be contacted via phone (704) 377-3389.

Contact Information

Primary practice address
1000 Blythe Blvd Charlotte NC 28203-5812
Phone: (704) 377-3389
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD35024 South Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2012-01406 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 002293 Georgia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 84641 Georgia

Profile Details

NPI number 1730306408
LBN Legal business name Moment, Ebonique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Jan 15th, 2020 - about 4 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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