Moomaw, Ronald Clifford

Moomaw, Ronald Clifford is an sole proprietor health care provider with primary practice located at 6839 Communications Pkwy , Plano TX 75024-5991. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Moomaw, Ronald Clifford can be contacted via phone (972) 733-7242.

Contact Information

Primary practice address
6839 Communications Pkwy Plano TX 75024-5991
Phone: (972) 733-7242
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 34-03169 Ohio
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X N6503 Texas

Profile Details

NPI number 1760504823
LBN Legal business name Moomaw, Ronald Clifford
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2007
Last updated Oct 2nd, 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 1760504823 NPPES
Ohio Other 34003169 LICENSE NUMBER OHIO
Ohio MEDICAID 06253415 LICENSE NUMBER OHIO
Ohio Other N6503 LICENSE NUMBER OHIO
Ohio Other V0174052 LICENSE NUMBER OHIO

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