Moran, John A

Moran, John A is an individual health care provider with primary practice located at 1542 Golf Course Rd Suite 201, Grand Rapids MN 55744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Moran, John A can be contacted via phone (218) 326-3433.

Contact Information

Primary practice address
1542 Golf Course Rd Suite 201 Grand Rapids MN 55744
Phone: (218) 326-3433
Fax: (218) 326-3435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 20816 Minnesota

Profile Details

NPI number 1700879756
LBN Legal business name Moran, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jan 7th, 2010 - about 14 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 1700879756 NPPES
Minnesota Other 180001387 INDIVIDUAL MEDICARE NUMBER GRAND RAPIDS
Minnesota Other 180001388 INDIVIDUAL MEDICARE NUMBER GRAND RAPIDS
Minnesota Other C02738 INDIVIDUAL MEDICARE NUMBER GRAND RAPIDS
Minnesota Other C08247 INDIVIDUAL MEDICARE NUMBER GRAND RAPIDS

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