Moore, Christopher
Moore, Christopher is an individual health care provider with primary practice located at 1715 Village Way , Orange Park FL 32073-5263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Moore, Christopher can be contacted via phone (904) 264-8418.Contact Information
Primary practice address
1715 Village Way
Orange Park FL 32073-5263
Phone: (904) 264-8418
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME96662 | Florida |
Profile Details
| NPI number | 1669552030 |
|---|---|
| LBN Legal business name | Moore, Christopher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Sep 9th, 2009 - about 15 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 | 1669552030 | NPPES |
| Florida | Other | AH583Z | PTAN |
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