Moore, Christopher
Moore, Christopher is an individual health care provider with primary practice located at 1050 Reid Pkwy Suite 120, Richmond IN 47374-1155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moore, Christopher can be contacted via phone (765) 962-6053.Contact Information
Primary practice address
1050 Reid Pkwy Suite 120
Richmond IN 47374-1155
Phone: (765) 962-6053
Fax: (765) 935-7401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01069535A | Indiana |
Profile Details
| NPI number | 1588783633 |
|---|---|
| LBN Legal business name | Moore, Christopher |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | May 17th, 2021 - about 3 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 | 1588783633 | NPPES |
| Indiana | MEDICAID | 201041530 | |
| Indiana | Other | 000000724246 | |
| Indiana | MEDICAID | 0067107 |
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