Moore, Douglas L
Moore, Douglas L is an individual health care provider with primary practice located at 7829 Laurel Ave , Cincinnati OH 45243-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, Douglas L can be contacted via phone (513) 561-6266.Contact Information
Primary practice address
7829 Laurel Ave
Cincinnati OH 45243-2608
Phone: (513) 561-6266
Fax: (513) 561-0149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35073420 | Ohio |
Profile Details
| NPI number | 1376512756 |
|---|---|
| LBN Legal business name | Moore, Douglas L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jan 14th, 2008 - about 17 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 | 1376512756 | NPPES |
| Ohio | MEDICAID | 2270671 |
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