Moisan, Joseph J.

Moisan, Joseph J. is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Neurosurgery, Worcester MA 01655-0002. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Moisan, Joseph J. can be contacted via phone (508) 334-0605.

Contact Information

Primary practice address
55 Lake Ave N Department Of Neurosurgery Worcester MA 01655-0002
Phone: (508) 334-0605
Fax: (508) 334-5074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00508 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3806 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA3806 Massachusetts

Profile Details

NPI number 1669602835
LBN Legal business name Moisan, Joseph J.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2009
Last updated Nov 7th, 2016 - about 10 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 1669602835 NPPES
Rhode Island MEDICAID JM84255
Rhode Island Other 001697301

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