Moncivaiz, Joel
Moncivaiz, Joel is an sole proprietor health care provider with primary practice located at 1733 Harrodsburg Rd , Lexington KY 40504-3277. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Moncivaiz, Joel can be contacted via phone (859) 278-4869.Contact Information
Primary practice address
1733 Harrodsburg Rd
Lexington KY 40504-3277
Phone: (859) 278-4869
Fax: (859) 278-7690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 547411 | Kentucky |
Profile Details
| NPI number | 1699811588 |
|---|---|
| LBN Legal business name | Moncivaiz, Joel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jan 23rd, 2024 - about 11 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699811588 | NPPES |
| Kentucky | MEDICAID | 7100710580 |
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