Moore, Daniel Benjamin

Moore, Daniel Benjamin is an individual health care provider with primary practice located at 110 Conn Ter Ste 550 , Lexington KY 40508-3206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Moore, Daniel Benjamin can be contacted via phone (859) 323-5867.

Contact Information

Primary practice address
110 Conn Ter Ste 550 Lexington KY 40508-3206
Phone: (859) 323-5867
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2012-00548 North Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 46264 Kentucky
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 46264 Kentucky

Profile Details

NPI number 1356506463
LBN Legal business name Moore, Daniel Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Mar 17th, 2018 - about 7 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 1356506463 NPPES
Kentucky MEDICAID 7100247340

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