Bang, Moriah
Bang, Moriah is an individual health care provider with primary practice located at 525 E Congress Pkwy Suite 250, Crystal Lake IL 60014-6245. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bang, Moriah can be contacted via phone (815) 479-7490.Contact Information
Primary practice address
525 E Congress Pkwy Suite 250
Crystal Lake IL 60014-6245
Phone: (815) 479-7490
Fax: (815) 455-2654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036115884 | Illinois |
Profile Details
| NPI number | 1750393310 |
|---|---|
| LBN Legal business name | Bang, Moriah |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Feb 2nd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750393310 | NPPES |
| Wisconsin | MEDICAID | 43536000 | |
| Wisconsin | MEDICAID | 036115884 |
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