Moore, Stephany K
Moore, Stephany K is an individual health care provider with primary practice located at 1325 Clark St , Cambridge OH 43725-9614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Moore, Stephany K can be contacted via phone (740) 630-9708.Contact Information
Primary practice address
1325 Clark St
Cambridge OH 43725-9614
Phone: (740) 630-9708
Fax: (740) 630-9709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35080685 | Ohio |
Profile Details
| NPI number | 1376529347 |
|---|---|
| LBN Legal business name | Moore, Stephany K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Aug 23rd, 2017 - about 8 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 | 1376529347 | NPPES |
| Ohio | MEDICAID | 2319600 |
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