Moore, Paul Beveridge
Moore, Paul Beveridge is an individual health care provider with primary practice located at 273 Winton M Blount Loop , Montgomery AL 36117-3507. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Moore, Paul Beveridge can be contacted via phone (334) 280-1500.Contact Information
Primary practice address
273 Winton M Blount Loop
Montgomery AL 36117-3507
Phone: (334) 280-1500
Fax: (334) 280-1600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 11047 | Alabama |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 11047 | Alabama |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 11047 | Alabama |
Profile Details
| NPI number | 1285668699 |
|---|---|
| LBN Legal business name | Moore, Paul Beveridge |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285668699 | NPPES |
| Alabama | MEDICAID | 17844 | |
| Alabama | Other | 11047 | |
| Alabama | Other | 051007015 | |
| Alabama | Other | 051017844 |
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