Moran, Stephan G.

Moran, Stephan G. is an individual health care provider with primary practice located at 201 Sivley Rd Sw Suite 400, Huntsville AL 35801-5134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Moran, Stephan G. can be contacted via phone (256) 265-2895.

Contact Information

Primary practice address
201 Sivley Rd Sw Suite 400 Huntsville AL 35801-5134
Phone: (256) 265-2895
Fax: (256) 265-9777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 00021195 Alabama
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 00021195 Alabama

Profile Details

NPI number 1417922683
LBN Legal business name Moran, Stephan G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 22nd, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417922683 NPPES
Alabama Other 051520526 BCBS
Alabama MEDICAID 4046898 BCBS
Alabama MEDICAID 009947965 BCBS
Alabama Other 4086146 BCBS

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