Moran, Michelle Ruth
Moran, Michelle Ruth is an individual health care provider with primary practice located at 474 W. 200 North, Ste 200 Southwest Behavioral Health Center, Saint George UT 84770. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry is her primary health care specialty. Moran, Michelle Ruth can be contacted via phone (435) 634-5600.Contact Information
Primary practice address
474 W. 200 North, Ste 200 Southwest Behavioral Health Center
Saint George UT 84770
Phone: (435) 634-5600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | 8052247-1205 | Utah |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 7964A | Wyoming |
Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 7964A | Wyoming |
Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 8052247-1205 | Utah |
Profile Details
NPI number | 1336230911 |
---|---|
LBN Legal business name | Moran, Michelle Ruth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2006 |
Last updated | Apr 22nd, 2014 - about 10 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 | 1336230911 | NPPES |
Wyoming | MEDICAID | 127253500 | |
Wyoming | MEDICAID | 10686045 |
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