Mooney, Thomas G.

Mooney, Thomas G. is an individual health care provider with primary practice located at 2655 Crescent Dr Suite C, Lafayette CO 80026-3372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mooney, Thomas G. can be contacted via phone (303) 443-4200.

Contact Information

Primary practice address
2655 Crescent Dr Suite C Lafayette CO 80026-3372
Phone: (303) 443-4200
Fax: (303) 443-5470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35172 Colorado

Profile Details

NPI number 1952392136
LBN Legal business name Mooney, Thomas G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Oct 20th, 2008 - about 18 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 1952392136 NPPES
Colorado Other 390005667 RR MEDICARE
Colorado MEDICAID 01351725 RR MEDICARE

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