Moore, Courtenay K
Moore, Courtenay K is an individual health care provider with primary practice located at 915 Olentangy River Rd , Columbus OH 43212-3153. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Moore, Courtenay K can be contacted via phone (614) 293-8155.Contact Information
Primary practice address
915 Olentangy River Rd
Columbus OH 43212-3153
Phone: (614) 293-8155
Fax: (614) 293-3565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 35085038 | Ohio |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 35085038 | Ohio |
Profile Details
| NPI number | 1568552644 |
|---|---|
| LBN Legal business name | Moore, Courtenay K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Nov 16th, 2020 - about 4 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 | 1568552644 | NPPES |
| Ohio | MEDICAID | 2583575 |
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