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:
Health care specialties
Specialty | Code | License # | 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 17 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 | 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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