Moore, Melita N

Moore, Melita N is an individual health care provider with primary practice located at 201 East University Parkway , Baltimore MD 21218-2307. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Moore, Melita N can be contacted via phone (410) 554-2000.

Contact Information

Primary practice address
201 East University Parkway Baltimore MD 21218-2307
Fax:
Website:

Profile Details

NPI number 1225171929
LBN Legal business name Moore, Melita N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 21st, 2022 - about 3 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 1225171929 NPPES
California Other A108599 LICENSURE
California Other 124167 LICENSURE
California Other D0084055 LICENSURE
California Other N9607 LICENSURE

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