Moore, Donna H
Moore, Donna H is an individual health care provider with primary practice located at 211 Merchants Walk , Summersville WV 26651-1901. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Moore, Donna H can be contacted via phone (304) 872-9455.Contact Information
Primary practice address
211 Merchants Walk
Summersville WV 26651-1901
Phone: (304) 872-9455
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 48550 | West Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 48550 | West Virginia |
Profile Details
NPI number | 1073760864 |
---|---|
LBN Legal business name | Moore, Donna H |
Credentials | NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 22nd, 2008 |
Last updated | Oct 31st, 2014 - about 11 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 | 1073760864 | NPPES |
West Virginia | MEDICAID | 0035222000 | |
West Virginia | Other | 48550 |
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