Moore, Michael J
Moore, Michael J is an sole proprietor health care provider with primary practice located at 131 Ornac John Cummings Bldg, Concord MA 01742-4181. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Moore, Michael J can be contacted via phone (781) 259-0803.Contact Information
Primary practice address
131 Ornac John Cummings Bldg
Concord MA 01742-4181
Phone: (781) 259-0803
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 29410 | Massachusetts |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 29410 | Massachusetts |
Profile Details
| NPI number | 1689655151 |
|---|---|
| LBN Legal business name | Moore, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Sep 27th, 2012 - about 13 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 | 1689655151 | NPPES |
| Massachusetts | Other | B23053 | BCBS |
| Massachusetts | Other | 029410 | BCBS |
| Massachusetts | Other | 11461 | BCBS |
| Massachusetts | Other | 000000024368 | BCBS |
| Massachusetts | MEDICAID | 3196640 | BCBS |
| Massachusetts | Other | 05-04349 | BCBS |
Popular Providers
-
Levin, Barry Lester
Suite 760 131 Ornac, Concord MA 01743-4181 -
Hall, Scott
1305 Airport Fwy Ste 205, Bedford TX 76021-6606 -
Kazi, Amer M.
6915 N Fir Rd , Granger IN 46530-4754 -
Butler, Russell B
131 Old Road To 9 Acre Cor John Cuming Bldg 730, Concord MA 01742-4181 -
Hainsworth, Jeffrey Brian
131 Old Road To 9 Acre Cor Ste 430 , Concord MA 01742-4162 -
Liow, Kore K.
642 Ulukahiki St Suite 300, Kailua HI 96734-4400 -
Reczek, Jeanine G
330 Baker Ave , Concord MA 01742-2129 -
Agner, Celso
1625 Se 3Rd Avenue Suite 623, Fort Lauderdale FL 33316-2521