Mooney, John M

Mooney, John M is an individual health care provider with primary practice located at 1980 Broadway , Placerville CA 95667-9001. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Mooney, John M can be contacted via phone (530) 622-3536.

Contact Information

Primary practice address
1980 Broadway Placerville CA 95667-9001
Fax: (530) 622-3538
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 15474 California

Profile Details

NPI number 1003832338
LBN Legal business name Mooney, John M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 31st, 2013 - 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 1003832338 NPPES
California MEDICAID GDC000640

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