Earl G Moehn M D P C

LBN: Earl G Moehn M D P C
Earl G Moehn M D P C is an health care organization with primary practice located at 100 Belleview St , Mount Clemens MI 48043-2241. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Earl G Moehn M D P C can be contacted via phone (586) 463-4204, or through Moehn, Earl G via phone (586) 463-4204.

Contact Information

Primary practice address
100 Belleview St Mount Clemens MI 48043-2241
Phone: (586) 463-4204
Fax: (586) 268-0953
Website:
Map and Directions
Authorized official contact:
Name: Moehn, Earl G Doctor of Medicine (MD)
Phone: (586) 463-4204

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301025603 Michigan

Profile Details

NPI number 1477562882
LBN Legal business name Earl G Moehn M D P C
DBA Doing business as
Authorized official Moehn, Earl G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477562882 NPPES
Michigan Other 4301025603 LICENSE
Michigan Other P00070675 LICENSE
Michigan MEDICAID 1720810 LICENSE
Michigan Other 4301025603 LICENSE

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