Moment, Dwayne

Moment, Dwayne is an individual health care provider with primary practice located at 11711 Serenity Ln , Indianapolis IN 46229-3966. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Moment, Dwayne can be contacted via phone (317) 927-8836.

Contact Information

Primary practice address
11711 Serenity Ln Indianapolis IN 46229-3966
Phone: (317) 927-8836
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1558713149
LBN Legal business name Moment, Dwayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2016
Last updated Jul 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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