Moulton Group Pc in Monroe - Specialist

Moulton Group Pc - NPI 1053395798

Moulton Group Pc is a Specialist in Monroe, Michigan. Moulton Group Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Moulton Group Pc is 1053395798. The last update date is 2020-08-22.

Moulton Group Pc's current location address is Po Box 2503, Monroe, Michigan. You can contact this provider via phone number 7342414950 and fax number 7342434269. The mailing address for Moulton Group Pc is Po Box 2503, Monroe, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Moulton Group Pc
Address Po Box 2503, Monroe, Michigan
Phone Number 7342414950
Fax Number 7342434269
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Moulton Patricia Paulette
Credentials M.D.
Telephone Number 7342414950

NPI Number Detail

NPI Number 1053395798
Provider Enumeration Date 2005-12-06
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 2503
City Monroe
State Michigan (MI)
Post Code 481617503
Phone Number 7342414950
Fax Number 7342434269

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 4301042774
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4893843 MI --
705810691 MI BCBS

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FAQs about Moulton Group Pc

What is the unique identification code assigned to Moulton Group Pc by the Centers for Medicare & Medicaid Services?

The Moulton Group Pc has been issued the NPI (National Provider Identifier) 1053395798. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Moulton Group Pc?

The Moulton Group Pc is physically situated at Po Box 2503, in the city of Monroe, state of MI, with the postal code 481617503.

What is the area of specialization for Moulton Group Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Moulton Group Pc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

When did Moulton Group Pc receive its 1053395798 assignment?

The Moulton Group Pc was assigned its 1053395798 on 2005-12-06, which is the date when this unique identifier was issued to the organization.

When was the Moulton Group Pc's information last updated?

The Moulton Group Pc's information was last updated on 2020-08-22.

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