Moran, Edward
Moran, Edward is an individual health care provider with primary practice located at 71 Wayne St , Fort Gay WV 25514-8518. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Moran, Edward can be contacted via phone (304) 648-5544.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 22569 | West Virginia |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 22569 | West Virginia |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22569 | West Virginia |
Profile Details
NPI number | 1992910830 |
---|---|
LBN Legal business name | Moran, Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 14th, 2007 |
Last updated | May 28th, 2024 - about last year |
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 | 1992910830 | NPPES |
West Virginia | MEDICAID | 3810012069 | |
West Virginia | Other | 001709560 | |
West Virginia | MEDICAID | 7100061120 | |
West Virginia | MEDICAID | 3002119 | |
West Virginia | Other | 00767779 |
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