Mooney, Joseph S

Mooney, Joseph S is an sole proprietor health care provider with primary practice located at 201 S Railroad Ave , Brookhaven MS 39601-3331. He recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as his primary health care specialty. Mooney, Joseph S can be contacted via phone (601) 835-0077.

Contact Information

Primary practice address
201 S Railroad Ave Brookhaven MS 39601-3331
Fax: (601) 835-0095
Website:

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 10309 Mississippi

Profile Details

NPI number 1427068659
LBN Legal business name Mooney, Joseph S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Nov 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427068659 NPPES
Mississippi MEDICAID 00124769

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