Mahoney, Michael James

Mahoney, Michael James is an individual health care provider with primary practice located at 50 Moisey Dr Ste 214 , Hazle Township PA 18202-9297. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mahoney, Michael James can be contacted via phone (570) 501-6900.

Contact Information

Primary practice address
50 Moisey Dr Ste 214 Hazle Township PA 18202-9297
Phone: (570) 501-6900
Fax: (570) 501-6945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OT013657 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X OS017757 Pennsylvania

Profile Details

NPI number 1912278334
LBN Legal business name Mahoney, Michael James
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2012
Last updated Mar 15th, 2023 - about 3 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 1912278334 NPPES
Pennsylvania MEDICAID 103053833-0001

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