Moomaw, Douglas Edward
Moomaw, Douglas Edward is an individual health care provider with primary practice located at 1556 N Wenatchee Ave Suite D, Wenatchee WA 98801. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Moomaw, Douglas Edward can be contacted via phone (509) 665-3100.Contact Information
Primary practice address
1556 N Wenatchee Ave Suite D
Wenatchee WA 98801
Phone: (509) 665-3100
Fax: (509) 665-9980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | LD00001173 | Washington |
Profile Details
| NPI number | 1225187230 |
|---|---|
| LBN Legal business name | Moomaw, Douglas Edward |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1225187230 | NPPES |
| Washington | MEDICAID | 8076010 |
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