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:
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Health care specialties

SpecialtyCodeLicense #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 7 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 1558367961 NPPES
Washington Other 124925 L&I
Washington MEDICAID 8231375 L&I

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