Moran, Michael C

Moran, Michael C is an individual health care provider with primary practice located at 1802 S. Mattis Avenue Orthopedics, Champaign IL 61821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Moran, Michael C can be contacted via phone (217) 383-7676.

Contact Information

Primary practice address
1802 S. Mattis Avenue Orthopedics Champaign IL 61821
Phone: (217) 383-7676
Fax: (217) 383-4910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036084080 Illinois

Profile Details

NPI number 1073565784
LBN Legal business name Moran, Michael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated May 7th, 2014 - about 11 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 1073565784 NPPES
Illinois MEDICAID 036084080

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