Moriarty, Thomas M

Moriarty, Thomas M is an individual health care provider with primary practice located at 210 E Gray St Suite 1105, Louisville KY 40202-3900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Moriarty, Thomas M can be contacted via phone (502) 583-1609.

Contact Information

Primary practice address
210 E Gray St Suite 1105 Louisville KY 40202-3900
Fax: (502) 583-2120
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 33517 Kentucky

Profile Details

NPI number 1275526485
LBN Legal business name Moriarty, Thomas M
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 13th, 2016 - about 8 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 1275526485 NPPES
Kentucky Other 00533112 MEDICARE - KY - NNIKY
Kentucky Other 000000604406 MEDICARE - KY - NNIKY
Kentucky MEDICAID 200155550 MEDICARE - KY - NNIKY
Kentucky Other 102716 MEDICARE - KY - NNIKY
Kentucky Other 7354921 MEDICARE - KY - NNIKY
Kentucky Other 3694171000 MEDICARE - KY - NNIKY
Kentucky Other 000023035H MEDICARE - KY - NNIKY
Kentucky Other 50022352 MEDICARE - KY - NNIKY
Kentucky MEDICAID 64353170 MEDICARE - KY - NNIKY

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