Moriarty, Michael T

Moriarty, Michael T is an individual health care provider with primary practice located at 3000 Medical Center Pkwy , Bentonville AR 72712-3217. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Moriarty, Michael T can be contacted via phone (479) 751-3722.

Contact Information

Primary practice address
3000 Medical Center Pkwy Bentonville AR 72712-3217
Phone: (479) 751-3722
Fax: (479) 751-1099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-085907 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 120862 Arkansas

Profile Details

NPI number 1730358102
LBN Legal business name Moriarty, Michael T
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2008
Last updated May 13th, 2021 - about 5 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 1730358102 NPPES
Alabama Other 515-47303 BC BS OF AL
Alabama MEDICAID 1730358102 BC BS OF AL
Alabama MEDICAID 236425001 BC BS OF AL

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