Moore, Michael Geoffrey

Moore, Michael Geoffrey is an individual health care provider with primary practice located at 550 University Boulevard Suite 3170, Indianapolis IN 46202-5149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Moore, Michael Geoffrey can be contacted via phone (317) 948-3226.

Contact Information

Primary practice address
550 University Boulevard Suite 3170 Indianapolis IN 46202-5149
Phone: (317) 948-3226
Fax: (317) 944-2443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01064904A Indiana

Profile Details

NPI number 1851427900
LBN Legal business name Moore, Michael Geoffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2007
Last updated Dec 22nd, 2020 - about 4 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 1851427900 NPPES
Indiana MEDICAID 200909060

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