Moore, Mary D
Moore, Mary D is an individual health care provider with primary practice located at 1000 Houghton Ave , Saginaw MI 48602-5303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rheumatology, which is considered as her primary health care specialty. Moore, Mary D can be contacted via phone (989) 746-7500.Contact Information
Primary practice address
1000 Houghton Ave
Saginaw MI 48602-5303
Phone: (989) 746-7500
Fax: (989) 746-7752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Rheumatology | 2080P0216X | 4301080845 | Michigan |
Profile Details
| NPI number | 1275502445 |
|---|---|
| LBN Legal business name | Moore, Mary D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Mar 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275502445 | NPPES |
| Other | 3503906282 | BCBS | |
| MEDICAID | 4440356 | BCBS |
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