Crisp, Laddie Moore

Crisp, Laddie Moore is an individual health care provider with primary practice located at 107 Airport Rd , Kinston NC 28501-1603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Crisp, Laddie Moore can be contacted via phone (252) 527-4146.

Contact Information

Primary practice address
107 Airport Rd Kinston NC 28501-1603
Phone: (252) 527-4146
Fax: (252) 527-5697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32676 North Carolina

Profile Details

NPI number 1295835924
LBN Legal business name Crisp, Laddie Moore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated May 6th, 2021 - about 3 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 1295835924 NPPES
North Carolina Other 5868476 AETNA INSURANCE
North Carolina MEDICAID 8925754 AETNA INSURANCE
North Carolina Other 25754 AETNA INSURANCE
North Carolina Other 01-28746 AETNA INSURANCE
North Carolina Other 41528 AETNA INSURANCE

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