Moore, Jr, Charles F
Moore, Jr, Charles F is an individual health care provider with primary practice located at 727 Hospital Dr , Shelbyville KY 40065-1660. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Moore, Jr, Charles F can be contacted via phone (502) 367-3360.Contact Information
Primary practice address
727 Hospital Dr
Shelbyville KY 40065-1660
Phone: (502) 367-3360
Fax: (502) 367-3365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 41169 | Kentucky |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 41169 | Kentucky |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01056663A | Indiana |
Profile Details
| NPI number | 1740209253 |
|---|---|
| LBN Legal business name | Moore, Jr, Charles F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Oct 26th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740209253 | NPPES |
| Indiana | Other | 000000386253 | BCBS - GATEWAY |
| Indiana | MEDICAID | 64102056 | BCBS - GATEWAY |
| Indiana | Other | 000000374581 | BCBS - GATEWAY |
| Indiana | Other | P00248435 | BCBS - GATEWAY |
| Indiana | MEDICAID | 200518340 | BCBS - GATEWAY |
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