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
Fax: (207) 930-6709
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699729657 NPPES
Illinois MEDICAID 036-065620

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