Moore, Derek W

Moore, Derek W is an sole proprietor health care provider with primary practice located at 2324 Bath St , Santa Barbara CA 93105-4330. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Moore, Derek W can be contacted via phone (805) 682-7801.

Contact Information

Primary practice address
2324 Bath St Santa Barbara CA 93105-4330
Phone: (805) 682-7801
Fax: (805) 687-5342
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 238120 Massachusetts
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 238120 Massachusetts
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 237490 New York
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X A87788 California

Profile Details

NPI number 1134387293
LBN Legal business name Moore, Derek W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2008
Last updated Jan 15th, 2018 - 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 1134387293 NPPES
Massachusetts MEDICAID 2164035

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