Moore, Michael Benjamin

Moore, Michael Benjamin is an individual health care provider with primary practice located at 9040 Fitzsimmons Dr , Joint Base Lewis Mcchord WA 98431-3689. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Moore, Michael Benjamin can be contacted via phone (253) 968-1340.

Contact Information

Primary practice address
9040 Fitzsimmons Dr Joint Base Lewis Mcchord WA 98431-3689
Phone: (253) 968-1340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 1198 Nebraska
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X OP61069996 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1198 Nebraska

Profile Details

NPI number 1538110911
LBN Legal business name Moore, Michael Benjamin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jan 7th, 2021 - 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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