Moynihan, Neil

Moynihan, Neil is an individual health care provider with primary practice located at 112 Mansfield Ave , Willimantic CT 06226-2045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Moynihan, Neil can be contacted via phone (860) 423-6410.

Contact Information

Primary practice address
112 Mansfield Ave Willimantic CT 06226-2045
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 031926 Connecticut

Profile Details

NPI number 1386606523
LBN Legal business name Moynihan, Neil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Sep 2nd, 2016 - about 8 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 1386606523 NPPES
Connecticut MEDICAID 001319260

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