Mooring, John Wesley
Mooring, John Wesley is an individual health care provider with primary practice located at 421 N Monte Vista St , Ada OK 74820-4609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mooring, John Wesley can be contacted via phone (580) 332-9595.Contact Information
Primary practice address
421 N Monte Vista St
Ada OK 74820-4609
Phone: (580) 332-9595
Fax: (580) 332-4921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | LP02650 | Rhode Island |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 29705 | Oklahoma |
Profile Details
| NPI number | 1174734495 |
|---|---|
| LBN Legal business name | Mooring, John Wesley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Nov 21st, 2019 - about 5 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 | 1174734495 | NPPES |
| Louisiana | MEDICAID | 50997 |
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