Moore, Charles C.

Moore, Charles C. is an individual health care provider with primary practice located at 7603 Forest Ave Suite 403, Richmond VA 23229-4942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Moore, Charles C. can be contacted via phone (804) 741-0440.

Contact Information

Primary practice address
7603 Forest Ave Suite 403 Richmond VA 23229-4942
Phone: (804) 741-0440
Fax: (804) 288-2277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101024051 Virginia

Profile Details

NPI number 1245290212
LBN Legal business name Moore, Charles C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Sep 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245290212 NPPES
Other C06527 MEDICARE GROUP NUMBER
MEDICAID 006203035 MEDICARE GROUP NUMBER

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