Trettin, David Moan

Trettin, David Moan is an individual health care provider with primary practice located at 1501 Louisville Ave , Monroe LA 71201-6025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Trettin, David Moan can be contacted via phone (318) 323-8451.

Contact Information

Primary practice address
1501 Louisville Ave Monroe LA 71201-6025
Phone: (318) 323-8451
Fax: (318) 361-2613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD.08355R Louisiana

Profile Details

NPI number 1902881758
LBN Legal business name Trettin, David Moan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Feb 16th, 2010 - about 15 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 1902881758 NPPES
Louisiana MEDICAID 1384411

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