Mooney, Maureen A
Mooney, Maureen A is an individual health care provider with primary practice located at 5225 Cirque Dr W Ste 200 , University Place WA 98467-3639. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Mooney, Maureen A can be contacted via phone (253) 848-3000.Contact Information
Primary practice address
5225 Cirque Dr W Ste 200
University Place WA 98467-3639
Phone: (253) 848-3000
Fax: (253) 845-8750
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD00038710 | Washington |
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MD00038710 | Washington |
Profile Details
NPI number | 1467460352 |
---|---|
LBN Legal business name | Mooney, Maureen A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 4th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1467460352 | NPPES |
Washington | MEDICAID | 8254666 |
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