Moonan, Denis E

Moonan, Denis E is an sole proprietor health care provider with primary practice located at 1515 Smith St Suite N, North Providence RI 02911-2947. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Moonan, Denis E can be contacted via phone (401) 353-0555.

Contact Information

Primary practice address
1515 Smith St Suite N North Providence RI 02911-2947
Phone: (401) 353-0555
Fax: (401) 353-7079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD05654 Rhode Island
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X MD05654 Rhode Island
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD05654 Rhode Island

Profile Details

NPI number 1386626174
LBN Legal business name Moonan, Denis E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2005
Last updated Sep 9th, 2016 - about 8 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 1386626174 NPPES
Rhode Island MEDICAID 9002408
Rhode Island Other 24088

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