Moran, David Duffy
Moran, David Duffy is an sole proprietor health care provider with primary practice located at 42 Main St , Park Ridge IL 60068-4054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Moran, David Duffy can be contacted via phone (847) 823-2129.Contact Information
Primary practice address
42 Main St
Park Ridge IL 60068-4054
Phone: (847) 823-2129
Fax: (847) 823-1639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036-038570 | Illinois |
Profile Details
| NPI number | 1174610885 |
|---|---|
| LBN Legal business name | Moran, David Duffy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1174610885 | NPPES |
| Illinois | Other | 457560 | MEDICARE PTAN |
| Illinois | Other | 0694000001 | MEDICARE PTAN |
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