Moulton, Michael J
Moulton, Michael J is an individual health care provider with primary practice located at 988102 Nebraska Medical Center , Omaha NE 68198-8102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Moulton, Michael J can be contacted via phone (402) 559-9800.Contact Information
Primary practice address
988102 Nebraska Medical Center
Omaha NE 68198-8102
Phone: (402) 559-9800
Fax: (402) 559-7929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 34904 | Arizona |
Profile Details
| NPI number | 1710999024 |
|---|---|
| LBN Legal business name | Moulton, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Oct 9th, 2012 - about 12 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 | 1710999024 | NPPES |
| Arizona | MEDICAID | 124508 | |
| Arizona | MEDICAID | 10026059800 | |
| Arizona | Other | P00439640 |
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