Moore, David K
Moore, David K is an individual health care provider with primary practice located at 701 E County Line Rd Ste 101 , Greenwood IN 46143-1070. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Moore, David K can be contacted via phone (317) 885-2860.Contact Information
Primary practice address
701 E County Line Rd Ste 101
Greenwood IN 46143-1070
Phone: (317) 885-2860
Fax: (317) 885-2869
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02003501A | Indiana |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 02003501A | Indiana |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2007022729 | Missouri |
Profile Details
NPI number | 1720029911 |
---|---|
LBN Legal business name | Moore, David K |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2006 |
Last updated | May 9th, 2023 - about last year |
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 | 1720029911 | NPPES |
Indiana | Other | 000000612728 | ANTHEM |
Indiana | MEDICAID | 200938600 | ANTHEM |
Indiana | Other | P00730628 | ANTHEM |
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