Mooney, Susan E

Mooney, Susan E is an individual health care provider with primary practice located at 141 Mascoma St , Lebanon NH 03766-2647. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mooney, Susan E can be contacted via phone (603) 448-3996.

Contact Information

Primary practice address
141 Mascoma St Lebanon NH 03766-2647
Phone: (603) 448-3996
Fax: (603) 448-6863
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 10165 New Hampshire

Profile Details

NPI number 1740276757
LBN Legal business name Mooney, Susan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated May 8th, 2017 - about 8 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 1740276757 NPPES
Vermont Other 00049403 BC BS VT
Vermont Other 15P200 BC BS VT
Vermont MEDICAID 0RE4679 BC BS VT
Vermont MEDICAID 30011083 BC BS VT

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