Moore, Erin Madison
Moore, Erin Madison is an individual health care provider with primary practice located at 1 Medical Center Blvd #8 , Winston Salem NC 27157-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as her primary health care specialty. Moore, Erin Madison can be contacted via phone (336) 713-5660.Contact Information
Primary practice address
1 Medical Center Blvd #8
Winston Salem NC 27157-0001
Phone: (336) 713-5660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 0010-13940 | North Carolina |
Profile Details
| NPI number | 1659134112 |
|---|---|
| LBN Legal business name | Moore, Erin Madison |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2024 |
| Last updated | Feb 6th, 2024 - about 9 months 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 | 1659134112 | NPPES |
| Alabama | Other | 225416754419 | BLS |
| Alabama | Other | 0010-13940 | BLS |
| Alabama | Other | 225406755001 | BLS |
| Alabama | Other | 1215979 | BLS |
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