Moore, Mark
Moore, Mark is an individual health care provider with primary practice located at 230 W Washington Sq 2Nd Floor, Philadelphia PA 19106-3500. He recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as his primary health care specialty. Moore, Mark can be contacted via phone (215) 829-6088.Contact Information
Primary practice address
230 W Washington Sq 2Nd Floor
Philadelphia PA 19106-3500
Phone: (215) 829-6088
Fax: (215) 829-6104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | PS015627 | Pennsylvania |
Profile Details
| NPI number | 1669690905 |
|---|---|
| LBN Legal business name | Moore, Mark |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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