Moran, William J

Moran, William J is an individual health care provider with primary practice located at 3501 Cranberry Blvd , Weston WI 54476-5213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Moran, William J can be contacted via phone (715) 393-1000.

Contact Information

Primary practice address
3501 Cranberry Blvd Weston WI 54476-5213
Phone: (715) 393-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD25018 Oregon
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036-070119 Illinois
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 49189 Wisconsin

Profile Details

NPI number 1972500718
LBN Legal business name Moran, William J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 26th, 2011 - about 15 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 1972500718 NPPES
Wisconsin MEDICAID 34847000
Wisconsin MEDICAID 275192

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