Moore, John D

Moore, John D is an individual health care provider with primary practice located at 408 Wendell Ave , Lewistown MT 59457-2261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Moore, John D can be contacted via phone (406) 535-7711.

Contact Information

Primary practice address
408 Wendell Ave Lewistown MT 59457-2261
Phone: (406) 535-7711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MT4730 Montana

Profile Details

NPI number 1801999610
LBN Legal business name Moore, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jun 9th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801999610 NPPES
Montana MEDICAID 0355771
Montana Other 237169043594579001
Montana Other 000092530

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