Moran, Mary
Moran, Mary is an individual health care provider with primary practice located at 16 Fahey St Ste 202 , Belfast ME 04915-6029. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Moran, Mary can be contacted via phone (207) 930-6772.Contact Information
Primary practice address
16 Fahey St Ste 202
Belfast ME 04915-6029
Phone: (207) 930-6772
Fax: (207) 930-6709
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 036-065620 | Illinois |
Profile Details
NPI number | 1699729657 |
---|---|
LBN Legal business name | Moran, Mary |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 22nd, 2006 |
Last updated | Jan 11th, 2016 - about 9 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 | 1699729657 | NPPES |
Illinois | MEDICAID | 036-065620 |
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