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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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