Moore, Merwin B

Moore, Merwin B is an individual health care provider with primary practice located at 639 Broadmoor Circle , Mountain Home AR 72653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Moore, Merwin B can be contacted via phone (870) 424-4710.

Contact Information

Primary practice address
639 Broadmoor Circle Mountain Home AR 72653
Phone: (870) 424-4710
Fax: (870) 424-4780
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2003027560 Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X E5667 Arkansas

Profile Details

NPI number 1386617561
LBN Legal business name Moore, Merwin B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Aug 9th, 2012 - about 14 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 1386617561 NPPES
Arkansas Other 5H201 BCBS - ARKANSAS
Arkansas MEDICAID 154348001 BCBS - ARKANSAS
Arkansas MEDICAID 209057108 BCBS - ARKANSAS

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