Moritz, Michael S.

Moritz, Michael S. is an individual health care provider with primary practice located at 615 S New Ballas Rd , Saint Louis MO 63141. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Moritz, Michael S. can be contacted via phone (314) 251-6031.

Contact Information

Primary practice address
615 S New Ballas Rd Saint Louis MO 63141
Phone: (314) 251-6031
Fax: (314) 251-6343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 2017010079 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2017010079 Missouri

Profile Details

NPI number 1407118318
LBN Legal business name Moritz, Michael S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2012
Last updated Aug 17th, 2018 - about 8 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 1407118318 NPPES
Illinois MEDICAID ENROLLED
Illinois MEDICAID 1407118318

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