Moore, Phillip Schmitz
Moore, Phillip Schmitz is an individual health care provider with primary practice located at 2827 Lyndhurst Ave Suite 203, Winston Salem NC 27103-4145. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Moore, Phillip Schmitz can be contacted via phone (336) 794-8624.Contact Information
Primary practice address
2827 Lyndhurst Ave Suite 203
Winston Salem NC 27103-4145
Phone: (336) 794-8624
Fax: (336) 231-8845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2008-01396 | North Carolina |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 2008-01396 | North Carolina |
Profile Details
| NPI number | 1215119151 |
|---|---|
| LBN Legal business name | Moore, Phillip Schmitz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 3rd, 2007 |
| Last updated | Oct 28th, 2020 - about 4 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 | 1215119151 | NPPES |
| Virginia | MEDICAID | 1215119151 | |
| Virginia | MEDICAID | 5911465 |
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