Moonan, Jeffrey Keith
Moonan, Jeffrey Keith is an individual health care provider with primary practice located at 7777 Hennessy Blvd Suite 1000, Baton Rouge LA 70808-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Moonan, Jeffrey Keith can be contacted via phone (225) 767-3900.Contact Information
Primary practice address
7777 Hennessy Blvd Suite 1000
Baton Rouge LA 70808-4300
Phone: (225) 767-3900
Fax: (225) 214-9109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 11825 | Louisiana |
Profile Details
| NPI number | 1174515670 |
|---|---|
| LBN Legal business name | Moonan, Jeffrey Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jul 9th, 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 | 1174515670 | NPPES |
| Louisiana | Other | 2500230 | UNITED HEALTHCARE |
| Louisiana | Other | 4211647 | UNITED HEALTHCARE |
| Louisiana | Other | 232758 | UNITED HEALTHCARE |
| Louisiana | MEDICAID | 1171514 | UNITED HEALTHCARE |
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