Moran, Julie A
Moran, Julie A is an individual health care provider with primary practice located at 905 East D Street , Deer Park WA 99006-1529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moran, Julie A can be contacted via phone (509) 276-5005.Contact Information
Primary practice address
905 East D Street
Deer Park WA 99006-1529
Phone: (509) 276-5005
Fax: (509) 276-7785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00036575 | Washington |
Profile Details
| NPI number | 1558367961 |
|---|---|
| LBN Legal business name | Moran, Julie A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Dec 18th, 2018 - about 6 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 | 1558367961 | NPPES |
| Washington | Other | 124925 | L&I |
| Washington | MEDICAID | 8231375 | L&I |
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