Moskin, Ava R
Moskin, Ava R is an individual health care provider with primary practice located at 443 Congress St 2Nd Floor, Portland ME 04101-3531. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moskin, Ava R can be contacted via phone (207) 797-8881.Contact Information
Primary practice address
443 Congress St 2Nd Floor
Portland ME 04101-3531
Phone: (207) 797-8881
Fax: (207) 773-1697
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 015890 | Maine |
Profile Details
NPI number | 1457342735 |
---|---|
LBN Legal business name | Moskin, Ava R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 4th, 2005 |
Last updated | Jul 21st, 2016 - about 9 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 | 1457342735 | NPPES |
Maine | Other | 060449 | BLUE CROSS BLUE SHIELD |
Maine | MEDICAID | 290170099 | BLUE CROSS BLUE SHIELD |
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