Jacob Moninghoff
Jacob Moninghoff is a Physician Assistant in Hartford, Connecticut. Qualified in 2021, 5 years ago. Practices as a sole proprietor.
- Years since qualifying
- 5
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
Hartford, CTNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1669012449 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 9, 2020 |
| Last updated in NPPES | April 19, 2021 |
| Certification date | April 19, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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