Moore, Mary Lynn
Moore, Mary Lynn is an individual health care provider with primary practice located at 1750 Thompson Rd , Coos Bay OR 97420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moore, Mary Lynn can be contacted via phone (541) 269-0333.Contact Information
Primary practice address
1750 Thompson Rd
Coos Bay OR 97420
Phone: (541) 269-0333
Fax: (541) 269-7389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-076421 | Illinois |
Profile Details
| NPI number | 1164432522 |
|---|---|
| LBN Legal business name | Moore, Mary Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Dec 10th, 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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