Mooney, Martha L
Mooney, Martha L is an individual health care provider with primary practice located at 12420 Warwick Blvd Ste 4C , Newport News VA 23606-3053. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Mooney, Martha L can be contacted via phone (757) 596-7115.Contact Information
Primary practice address
12420 Warwick Blvd Ste 4C
Newport News VA 23606-3053
Phone: (757) 596-7115
Fax: (757) 596-7127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 0101037180 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101037180 | Virginia |
Profile Details
| NPI number | 1902872203 |
|---|---|
| LBN Legal business name | Mooney, Martha L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Oct 19th, 2020 - about 4 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 | 1902872203 | NPPES |
| Virginia | Other | -032 | TRICARE/CHAMPUS |
| Virginia | Other | 145302 | TRICARE/CHAMPUS |
| Virginia | Other | 487727 | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | MEDICAID | 890566N | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | MEDICAID | 010108616 | TRICARE/CHAMPUS |
| Virginia | Other | 0566N | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | Other | 78596 | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
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