Moore, Scot B

Moore, Scot B is an individual health care provider with primary practice located at 350 S Landmark Ave , Bloomington IN 47403-5001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Moore, Scot B can be contacted via phone (812) 334-9995.

Contact Information

Primary practice address
350 S Landmark Ave Bloomington IN 47403-5001
Phone: (812) 334-9995
Fax: (812) 335-7604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01044878 Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01044878A Indiana

Profile Details

NPI number 1821096462
LBN Legal business name Moore, Scot B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Sep 2nd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821096462 NPPES
Indiana MEDICAID 200095050A

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