Moan, Eugene Richard
Moan, Eugene Richard is an sole proprietor health care provider with primary practice located at 1521 N Beaver St , Flagstaff AZ 86001-1484. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Moan, Eugene Richard can be contacted via phone (928) 523-9604.Contact Information
Primary practice address
1521 N Beaver St
Flagstaff AZ 86001-1484
Phone: (928) 523-9604
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 927 | Arizona |
Profile Details
| NPI number | 1689762700 |
|---|---|
| LBN Legal business name | Moan, Eugene Richard |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1689762700 | NPPES |
| Arizona | Other | AZ0133340 | BLUE CROSS/BLUE SHIELD OF |
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