Moore, Allison D

Moore, Allison D is an individual health care provider with primary practice located at 1901 Melba Drive , Dothan AL 36301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Moore, Allison D can be contacted via phone (334) 794-6611.

Contact Information

Primary practice address
1901 Melba Drive Dothan AL 36301
Fax: (334) 794-6614
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1081292 Alabama

Profile Details

NPI number 1548229602
LBN Legal business name Moore, Allison D
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Nov 19th, 2007 - about 18 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 1548229602 NPPES
Alabama MEDICAID 00012172
Alabama Other 051512172

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