Moore, Charles Edward
Moore, Charles Edward is an sole proprietor health care provider with primary practice located at 2407 Helton Dr Ste B , Florence AL 35630-1067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, Charles Edward can be contacted via phone (256) 764-9613.Contact Information
Primary practice address
2407 Helton Dr Ste B
Florence AL 35630-1067
Phone: (256) 764-9613
Fax: (256) 764-8474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15163 | Alabama |
Profile Details
| NPI number | 1629038609 |
|---|---|
| LBN Legal business name | Moore, Charles Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Dec 10th, 2010 - about 14 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 | 1629038609 | NPPES |
| Alabama | MEDICAID | 051501284 |
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