Mooney, Timothy J

Mooney, Timothy J is an sole proprietor health care provider with primary practice located at 42333 Deluxe Plz Suite 7, Hammond LA 70403-1239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Mooney, Timothy J can be contacted via phone (985) 345-2555.

Contact Information

Primary practice address
42333 Deluxe Plz Suite 7 Hammond LA 70403-1239
Phone: (985) 345-2555
Fax: (985) 345-2837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD.019931 Louisiana

Profile Details

NPI number 1295732774
LBN Legal business name Mooney, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2005
Last updated Aug 3rd, 2010 - about 16 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 1295732774 NPPES
Louisiana MEDICAID 1985368

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