Moore, Carl
Moore, Carl is an individual health care provider with primary practice located at 2410 Atherholt Rd , Lynchburg VA 24501-2148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Moore, Carl can be contacted via phone (434) 200-5252.Contact Information
Primary practice address
2410 Atherholt Rd
Lynchburg VA 24501-2148
Phone: (434) 200-5252
Fax: (434) 200-2862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 0101039425 | Virginia |
Profile Details
| NPI number | 1083698468 |
|---|---|
| LBN Legal business name | Moore, Carl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Apr 1st, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083698468 | NPPES |
| Virginia | MEDICAID | 010312973 |
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