Moore, David L
Moore, David L is an individual health care provider with primary practice located at 3333 Burnet Ave Ml 2001, Cincinnati OH 45229-3026. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Moore, David L can be contacted via phone (513) 636-4408.Contact Information
Primary practice address
3333 Burnet Ave Ml 2001
Cincinnati OH 45229-3026
Phone: (513) 636-4408
Fax: (513) 636-7337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 120038 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 120038 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 35.091060 | Ohio |
Profile Details
| NPI number | 1497772941 |
|---|---|
| LBN Legal business name | Moore, David L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jan 4th, 2016 - about 8 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 | 1497772941 | NPPES |
| Missouri | MEDICAID | 204962807 |
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