Moore, Nicholas J.E.

Moore, Nicholas J.E. is an individual health care provider with primary practice located at 1390 Kelly Johnson Blvd , Colorado Springs CO 80920-3908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Moore, Nicholas J.E. can be contacted via phone (719) 593-1799.

Contact Information

Primary practice address
1390 Kelly Johnson Blvd Colorado Springs CO 80920-3908
Phone: (719) 593-1799
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 48664 Colorado

Profile Details

NPI number 1417905092
LBN Legal business name Moore, Nicholas J.E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Mar 7th, 2023 - about last year

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 1417905092 NPPES
Colorado Other 88639266 MEDICAID

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