Moore, Stephen Alan

Moore, Stephen Alan is an individual health care provider with primary practice located at 140 West Ave , Gt Barrington MA 01230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Moore, Stephen Alan can be contacted via phone (413) 528-2297.

Contact Information

Primary practice address
140 West Ave Gt Barrington MA 01230
Phone: (413) 528-2297
Fax: (413) 528-2572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 31963 Massachusetts

Profile Details

NPI number 1649384793
LBN Legal business name Moore, Stephen Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1649384793 NPPES
Other 10035727 CDPHP
Other 546172 CDPHP
Other 703730 CDPHP
MEDICAID 9724273 CDPHP
Other 000000023150 CDPHP
Other 773834 CDPHP
Other 9724273 CDPHP
Other 9762698003 CDPHP
Other 14570 CDPHP
Other 151131 CDPHP
Other 175300 CDPHP
Other P811505 CDPHP

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