Moran, Timothy John

Moran, Timothy John is an individual health care provider with primary practice located at 425 Pine Ridge Blvd , Wausau WI 54401-4123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Moran, Timothy John can be contacted via phone (216) 445-2115.

Contact Information

Primary practice address
425 Pine Ridge Blvd Wausau WI 54401-4123
Phone: (216) 445-2115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 51443-20 Wisconsin
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 57.009196 Ohio

Profile Details

NPI number 1437328614
LBN Legal business name Moran, Timothy John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2008
Last updated May 14th, 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 1437328614 NPPES
Wisconsin MEDICAID 35112300

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