Murray, Ted Joseph

Murray, Ted Joseph is an sole proprietor health care provider with primary practice located at 4200 Asbury Rd , Dubuque IA 52002-2892. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Murray, Ted Joseph can be contacted via phone (563) 556-2711.

Contact Information

Primary practice address
4200 Asbury Rd Dubuque IA 52002-2892
Fax: (563) 556-8017
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6254 Iowa

Profile Details

NPI number 1285700641
LBN Legal business name Murray, Ted Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285700641 NPPES
Iowa Other 687386 TRICARE
Iowa Other 177923 TRICARE
Iowa MEDICAID 0152728 TRICARE
Iowa Other 17792 TRICARE
Iowa Other 687383 TRICARE

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