Mooney, David Richard

Mooney, David Richard is an individual health care provider with primary practice located at 130 Fisher Rd Psychiatry Unit, Berlin VT 05602-9516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mooney, David Richard can be contacted via phone (802) 371-4316.

Contact Information

Primary practice address
130 Fisher Rd Psychiatry Unit Berlin VT 05602-9516
Fax: (802) 371-4579
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 042-0011030 Vermont

Profile Details

NPI number 1609841881
LBN Legal business name Mooney, David Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Sep 9th, 2015 - about 11 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 1609841881 NPPES
Vermont Other 29867 BCBS
Vermont MEDICAID 1011917 BCBS

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