Moran, Thea C.

Moran, Thea C. is an individual health care provider with primary practice located at 2451 Fillingim St Mastin Bldg 617, Mobile AL 36617-2238. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as her primary health care specialty. Moran, Thea C. can be contacted via phone (251) 470-5842.

Contact Information

Primary practice address
2451 Fillingim St Mastin Bldg 617 Mobile AL 36617-2238
Phone: (251) 470-5842
Fax: (251) 470-5809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 20112 Alabama

Profile Details

NPI number 1568416378
LBN Legal business name Moran, Thea C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Aug 2nd, 2007 - about 18 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 1568416378 NPPES
Alabama MEDICAID 009968275
Alabama MEDICAID 06436563
Alabama Other 16-01157
Alabama MEDICAID 1055883
Alabama MEDICAID 009968285
Alabama MEDICAID 271086200
Alabama Other 51524025
Alabama Other 51524024

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