Moore, Michael F
Moore, Michael F is an sole proprietor health care provider with primary practice located at 604 Division St , Clarks Summit PA 18411-1928. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Moore, Michael F can be contacted via phone (570) 319-6933.Contact Information
Primary practice address
604 Division St
Clarks Summit PA 18411-1928
Phone: (570) 319-6933
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD022692E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD022692E | Pennsylvania |
Profile Details
| NPI number | 1235165168 |
|---|---|
| LBN Legal business name | Moore, Michael F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Jul 25th, 2016 - about 8 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 | 1235165168 | NPPES |
| Pennsylvania | MEDICAID | 0007164390005 |
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