Moulton, Jonathan S.
Moulton, Jonathan S. is an individual health care provider with primary practice located at 234 Goodman St , Cincinnati OH 45219-2364. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Moulton, Jonathan S. can be contacted via phone (513) 584-7355.Contact Information
Primary practice address
234 Goodman St
Cincinnati OH 45219-2364
Phone: (513) 584-7355
Fax: (513) 584-0431
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35-05-1867-M | Ohio |
Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 35.051867 | Ohio |
Profile Details
NPI number | 1457391526 |
---|---|
LBN Legal business name | Moulton, Jonathan S. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2006 |
Last updated | Feb 20th, 2018 - about 6 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 | 1457391526 | NPPES |
Ohio | Other | 300033840 | RAILROAD MEDICARE |
Ohio | Other | 655268 | RAILROAD MEDICARE |
Ohio | MEDICAID | 300289600 | RAILROAD MEDICARE |
Ohio | MEDICAID | Q51867 | RAILROAD MEDICARE |
Ohio | MEDICAID | 200039000A | RAILROAD MEDICARE |
Ohio | Other | 1620980 | RAILROAD MEDICARE |
Ohio | Other | 000000014486 | RAILROAD MEDICARE |
Ohio | MEDICAID | 64787112 | RAILROAD MEDICARE |
Ohio | MEDICAID | 0626675 | RAILROAD MEDICARE |
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