Moulton, Jonathan S.

Moulton, Jonathan S. is an individual health care provider with primary practice located at 234 Goodman St , Cincinnati OH 45219-2364. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Moulton, Jonathan S. can be contacted via phone (513) 584-7355.

Contact Information

Primary practice address
234 Goodman St Cincinnati OH 45219-2364
Phone: (513) 584-7355
Fax: (513) 584-0431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35-05-1867-M Ohio
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 35.051867 Ohio

Profile Details

NPI number 1457391526
LBN Legal business name Moulton, Jonathan S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Feb 20th, 2018 - about 8 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 1457391526 NPPES
Ohio Other 300033840 RAILROAD MEDICARE
Ohio Other 655268 RAILROAD MEDICARE
Ohio MEDICAID 300289600 RAILROAD MEDICARE
Ohio MEDICAID Q51867 RAILROAD MEDICARE
Ohio MEDICAID 200039000A RAILROAD MEDICARE
Ohio Other 1620980 RAILROAD MEDICARE
Ohio Other 000000014486 RAILROAD MEDICARE
Ohio MEDICAID 64787112 RAILROAD MEDICARE
Ohio MEDICAID 0626675 RAILROAD MEDICARE

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