Moore, Mark C

Moore, Mark C is an individual health care provider with primary practice located at 1313 Fish Hatchery Rd Dean Medical Center, Madison WI 53715-1911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Moore, Mark C can be contacted via phone (608) 252-8000.

Contact Information

Primary practice address
1313 Fish Hatchery Rd Dean Medical Center Madison WI 53715-1911
Phone: (608) 252-8000
Fax: (608) 252-8245
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 32945-020 Wisconsin

Profile Details

NPI number 1124068846
LBN Legal business name Moore, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated May 8th, 2008 - about 16 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 1124068846 NPPES
Wisconsin Other 2901 DEAN HEALTH INSURANCE
Wisconsin MEDICAID 31824100 DEAN HEALTH INSURANCE

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