Moran, Michael J

Moran, Michael J is an individual health care provider with primary practice located at 705 14Th Ave Ne , Watertown SD 57201-6827. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Eye and Vision Services Providers / Contact Lens. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Moran, Michael J can be contacted via phone (605) 886-7722.

Contact Information

Primary practice address
705 14Th Ave Ne Watertown SD 57201-6827
Phone: (605) 886-7722
Fax: (605) 886-7723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4579 South Dakota
Eye and Vision Services Providers / Contact Lens 156FC0800X 4579 South Dakota

Profile Details

NPI number 1669470589
LBN Legal business name Moran, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Apr 24th, 2008 - about 18 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 1669470589 NPPES
South Dakota MEDICAID 6301483
South Dakota Other 21438

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