Matthew D Moore Llc

LBN: Matthew D Moore Llc
Matthew D Moore Llc is an health care organization with primary practice located at 2141 North Fairfield Road Suite C, Beavercreek OH 45431-2579. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Matthew D Moore Llc can be contacted via phone (937) 429-9683, or through Moore, Matthew D via phone (937) 429-9683.

Contact Information

Primary practice address
2141 North Fairfield Road Suite C Beavercreek OH 45431-2579
Phone: (937) 429-9683
Fax: (937) 429-9729
Website:
Map and Directions
Authorized official contact:
Name: Moore, Matthew D Doctor of Medicine (MD)
Phone: (937) 429-9683

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35055799M Ohio

Profile Details

NPI number 1760661367
LBN Legal business name Matthew D Moore Llc
DBA Doing business as
Authorized official Moore, Matthew D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2007
Last updated Oct 31st, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760661367 NPPES
Ohio Other 000000281392 ANTHEM
Ohio MEDICAID 0671983 ANTHEM
Ohio Other 2060101 ANTHEM

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