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:
Health care specialties
Specialty | Code | License # | 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 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386626174 | NPPES |
Rhode Island | MEDICAID | 9002408 | |
Rhode Island | Other | 24088 |
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