Moreau, Annie
Moreau, Annie is an individual health care provider with primary practice located at 608 Stanton L Young Blvd Suite B332, Oklahoma City OK 73104-5014. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is her primary health care specialty. Moreau, Annie can be contacted via phone (405) 271-1096.Contact Information
Primary practice address
608 Stanton L Young Blvd Suite B332
Oklahoma City OK 73104-5014
Phone: (405) 271-1096
Fax: (405) 271-6319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | 25055 | Oklahoma |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25055 | Oklahoma |
Profile Details
| NPI number | 1871686758 |
|---|---|
| LBN Legal business name | Moreau, Annie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Aug 4th, 2020 - 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 | 1871686758 | NPPES |
| Oklahoma | MEDICAID | 200162200A |
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