Moore, Dorothy M

Moore, Dorothy M is an sole proprietor health care provider with primary practice located at 2055 Limestone Rd Ste 102, Wilmington DE 19808-5536. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Moore, Dorothy M can be contacted via phone (302) 992-0430.

Contact Information

Primary practice address
2055 Limestone Rd Ste 102 Wilmington DE 19808-5536
Fax: (302) 992-0461
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C10002605 Delaware

Profile Details

NPI number 1063419349
LBN Legal business name Moore, Dorothy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2005
Last updated Apr 24th, 2020 - about 4 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 1063419349 NPPES
Delaware MEDICAID 0000973802
Delaware MEDICAID 0014791050006
Delaware MEDICAID 6265804

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