Moen, Daniel John

Moen, Daniel John is an individual health care provider with primary practice located at 220 N 6Th Ave E , Duluth MN 55805-1952. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Moen, Daniel John can be contacted via phone (218) 249-7000.

Contact Information

Primary practice address
220 N 6Th Ave E Duluth MN 55805-1952
Phone: (218) 249-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3320 Minnesota

Profile Details

NPI number 1952352973
LBN Legal business name Moen, Daniel John
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Sep 14th, 2017 - about 9 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 1952352973 NPPES
Minnesota MEDICAID 714572100

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