Moquin, Marvin A
Moquin, Marvin A is an individual health care provider with primary practice located at 205 South Front Street 4Th Floor, Bma, Harrisburg PA 17104-1619. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Moquin, Marvin A can be contacted via phone (717) 231-8555.Contact Information
Primary practice address
205 South Front Street 4Th Floor, Bma
Harrisburg PA 17104-1619
Phone: (717) 231-8555
Fax: (717) 231-8568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA000503L | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA000503L | Pennsylvania |
Profile Details
| NPI number | 1467402115 |
|---|---|
| LBN Legal business name | Moquin, Marvin A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jan 26th, 2021 - about 3 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 | 1467402115 | NPPES |
| Pennsylvania | Other | 0991138 | KEYSTONE CENTRAL |
| Pennsylvania | Other | P00200525 | KEYSTONE CENTRAL |
| Pennsylvania | Other | 20045771 | KEYSTONE CENTRAL |
| Pennsylvania | Other | 50043522 | KEYSTONE CENTRAL |
| Pennsylvania | MEDICAID | 103146244 | KEYSTONE CENTRAL |
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