Moore, Eugene F
Moore, Eugene F is an sole proprietor health care provider with primary practice located at 28 S Williams St , Burlington VT 05401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Moore, Eugene F can be contacted via phone (802) 864-7080.Contact Information
Primary practice address
28 S Williams St
Burlington VT 05401
Phone: (802) 864-7080
Fax: (802) 863-0411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 042010189 | Vermont |
Profile Details
| NPI number | 1083677934 |
|---|---|
| LBN Legal business name | Moore, Eugene F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Feb 25th, 2010 - about 14 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 | 1083677934 | NPPES |
| Vermont | MEDICAID | OVN2573 | |
| Vermont | Other | 00058102 | |
| Vermont | Other | 00058101 |
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