Moore, Heidi Jill
Moore, Heidi Jill is an sole proprietor health care provider with primary practice located at 159 Margaret St Suite 103, Plattsburgh NY 12901-1874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moore, Heidi Jill can be contacted via phone (518) 562-0151.Contact Information
Primary practice address
159 Margaret St Suite 103
Plattsburgh NY 12901-1874
Phone: (518) 562-0151
Fax: (518) 562-2718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 223912-1 | New York |
Profile Details
| NPI number | 1477618551 |
|---|---|
| LBN Legal business name | Moore, Heidi Jill |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Feb 5th, 2014 - about 10 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 | 1477618551 | NPPES |
| New York | MEDICAID | 02743295 |
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