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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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 1568552644 NPPES
Ohio MEDICAID 2583575

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