Mooney, Maureen A

Mooney, Maureen A is an individual health care provider with primary practice located at 5225 Cirque Dr W Ste 200 , University Place WA 98467-3639. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Mooney, Maureen A can be contacted via phone (253) 848-3000.

Contact Information

Primary practice address
5225 Cirque Dr W Ste 200 University Place WA 98467-3639
Phone: (253) 848-3000
Fax: (253) 845-8750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00038710 Washington
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD00038710 Washington

Profile Details

NPI number 1467460352
LBN Legal business name Mooney, Maureen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Mar 7th, 2023 - about 3 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 1467460352 NPPES
Washington MEDICAID 8254666

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