Mooney, John W

Mooney, John W is an individual health care provider with primary practice located at 240 S 40Th St Suite 105, Philadelphia PA 19104-6030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Mooney, John W can be contacted via phone (215) 898-8991.

Contact Information

Primary practice address
240 S 40Th St Suite 105 Philadelphia PA 19104-6030
Phone: (215) 898-8991
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DS017710L Pennsylvania

Profile Details

NPI number 1598796278
LBN Legal business name Mooney, John W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 16th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598796278 NPPES
Pennsylvania MEDICAID 0014537900002

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