Moullet, Daniel W

Moullet, Daniel W is an individual health care provider with primary practice located at 107 6Th Ave Sw , Ronan MT 59864-2634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moullet, Daniel W can be contacted via phone (406) 676-4441.

Contact Information

Primary practice address
107 6Th Ave Sw Ronan MT 59864-2634
Phone: (406) 676-4441
Fax: (406) 676-0835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00034152 Washington

Profile Details

NPI number 1790773802
LBN Legal business name Moullet, Daniel W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Sep 13th, 2013 - about 11 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 1790773802 NPPES
Other 114507 L & I
MEDICAID 8208357 L & I

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