Mooney, Colin James

Mooney, Colin James is an individual health care provider with primary practice located at 3200 Pleasant Valley Rd Alyce & Elmore Kraemer Cancer Care Ctr, West Bend WI 53095-9274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Mooney, Colin James can be contacted via phone (262) 836-7200.

Contact Information

Primary practice address
3200 Pleasant Valley Rd Alyce & Elmore Kraemer Cancer Care Ctr West Bend WI 53095-9274
Phone: (262) 836-7200
Fax: (262) 836-7201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 55900 Wisconsin

Profile Details

NPI number 1831302082
LBN Legal business name Mooney, Colin James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jan 10th, 2014 - about 11 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 1831302082 NPPES
Wisconsin MEDICAID 1831302082

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