Moulton, Michael J

Moulton, Michael J is an individual health care provider with primary practice located at 988102 Nebraska Medical Center , Omaha NE 68198-8102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Moulton, Michael J can be contacted via phone (402) 559-9800.

Contact Information

Primary practice address
988102 Nebraska Medical Center Omaha NE 68198-8102
Phone: (402) 559-9800
Fax: (402) 559-7929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 34904 Arizona

Profile Details

NPI number 1710999024
LBN Legal business name Moulton, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Oct 9th, 2012 - about 14 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 1710999024 NPPES
Arizona MEDICAID 124508
Arizona MEDICAID 10026059800
Arizona Other P00439640

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