Moran, Teresa A
Moran, Teresa A is an sole proprietor health care provider with primary practice located at 1740 E 17Th St Suite C, Idaho Falls ID 83404-6375. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Moran, Teresa A can be contacted via phone (208) 680-4322.Contact Information
Primary practice address
1740 E 17Th St Suite C
Idaho Falls ID 83404-6375
Phone: (208) 680-4322
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X |
Profile Details
NPI number | 1396978698 |
---|---|
LBN Legal business name | Moran, Teresa A |
Credentials | BS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 2nd, 2009 |
Last updated | Sep 2nd, 2009 - about 15 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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