Momen, Joseph
Momen, Joseph is an individual health care provider with primary practice located at 7 Chenoweth Dr Suite A, Bridgeport WV 26330-1887. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Momen, Joseph can be contacted via phone (304) 842-5777.Contact Information
Primary practice address
7 Chenoweth Dr Suite A
Bridgeport WV 26330-1887
Phone: (304) 842-5777
Fax: (304) 842-3318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | WV11941 | West Virginia |
Profile Details
| NPI number | 1114937653 |
|---|---|
| LBN Legal business name | Momen, Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Apr 6th, 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 | 1114937653 | NPPES |
| West Virginia | MEDICAID | 0112151000 | |
| West Virginia | Other | 001720852 |
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