Moore, Glen L
Moore, Glen L is an individual health care provider with primary practice located at 113 Gainsborough Sq Ste 400, Chesapeake VA 23320-1713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moore, Glen L can be contacted via phone (757) 842-4499.Contact Information
Primary practice address
113 Gainsborough Sq Ste 400
Chesapeake VA 23320-1713
Phone: (757) 842-4499
Fax: (757) 842-1447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101044198 | Virginia |
Profile Details
| NPI number | 1265533046 |
|---|---|
| LBN Legal business name | Moore, Glen L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | May 28th, 2013 - about 12 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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