Moore, Nathan Thomas
Moore, Nathan Thomas is an individual health care provider with primary practice located at 140 N Litchfield Rd Ste 110 , Goodyear AZ 85338-1226. He recently has 5 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Moore, Nathan Thomas can be contacted via phone (602) 256-2525.Contact Information
Primary practice address
140 N Litchfield Rd Ste 110
Goodyear AZ 85338-1226
Phone: (602) 256-2525
Fax: (602) 256-0795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 58.003264 | Ohio |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 006433 | Arizona |
| Other Service Providers / Specialist | 174400000X | 006433 | Arizona |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 006433 | Arizona |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 006433 | Arizona |
Profile Details
| NPI number | 1346575081 |
|---|---|
| LBN Legal business name | Moore, Nathan Thomas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2009 |
| Last updated | Jan 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346575081 | NPPES |
| Arizona | MEDICAID | 916205 |
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