Moenning, Stephen P
Moenning, Stephen P is an individual health care provider with primary practice located at 12550 New Brittany Blvd Ste 201 , Fort Myers FL 33907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Moenning, Stephen P can be contacted via phone (239) 343-9190.Contact Information
Primary practice address
12550 New Brittany Blvd Ste 201
Fort Myers FL 33907
Phone: (239) 343-9190
Fax: (239) 343-9193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | ME46778 | Florida |
Profile Details
| NPI number | 1316979214 |
|---|---|
| LBN Legal business name | Moenning, Stephen P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Nov 23rd, 2022 - about 4 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 | 1316979214 | NPPES |
| Florida | MEDICAID | 271843000 |
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