Moore, Joseph Andrew

Moore, Joseph Andrew is an individual health care provider with primary practice located at 1500 N Oakland Ave , Bolivar MO 65613. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Moore, Joseph Andrew can be contacted via phone (417) 328-6040.

Contact Information

Primary practice address
1500 N Oakland Ave Bolivar MO 65613
Phone: (417) 328-6040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME86388 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 9600647 North Carolina
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 2011007291 Missouri

Profile Details

NPI number 1790719417
LBN Legal business name Moore, Joseph Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Sep 2nd, 2021 - about 4 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 1790719417 NPPES
Florida Other 4458938 AETNA HMO/PPO
Florida Other 4147194004 AETNA HMO/PPO
Florida Other 62792 AETNA HMO/PPO
Florida Other 593221727 AETNA HMO/PPO

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