Moore, Michele

Moore, Michele is an individual health care provider with primary practice located at 7575 Northcliff Ave Suite 305, Brooklyn OH 44144-3267. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moore, Michele can be contacted via phone (216) 398-5535.

Contact Information

Primary practice address
7575 Northcliff Ave Suite 305 Brooklyn OH 44144-3267
Phone: (216) 398-5535
Fax: (216) 749-3366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34006836M Ohio

Profile Details

NPI number 1255433371
LBN Legal business name Moore, Michele
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 9th, 2007 - about 18 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 1255433371 NPPES
Ohio MEDICAID 215841
Ohio Other 385235
Ohio Other 7051201
Ohio MEDICAID 743136652027

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