Moran, Daniel J

Moran, Daniel J is an individual health care provider with primary practice located at 1415 Maple Rd , Joliet IL 60432-1442. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moran, Daniel J can be contacted via phone (815) 735-0732.

Contact Information

Primary practice address
1415 Maple Rd Joliet IL 60432-1442
Fax: (815) 722-7310
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071006470 Illinois

Profile Details

NPI number 1649386830
LBN Legal business name Moran, Daniel J
Credentials PHD BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Nov 28th, 2012 - about 12 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 1649386830 NPPES
Illinois Other 9932152 BCBS ID NUMBER

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