Moore, Stephen Lee
Moore, Stephen Lee is an individual health care provider with primary practice located at 1301 Pleasant Valley Rd Suite 202, Owensboro KY 42303-9774. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Moore, Stephen Lee can be contacted via phone (270) 417-7500.Contact Information
Primary practice address
1301 Pleasant Valley Rd Suite 202
Owensboro KY 42303-9774
Phone: (270) 417-7500
Fax: (270) 417-7509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 34004442 | Ohio |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 34004442 | Ohio |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 03919 | Kentucky |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 03919 | Kentucky |
Profile Details
| NPI number | 1992785018 |
|---|---|
| LBN Legal business name | Moore, Stephen Lee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Mar 17th, 2016 - about 9 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 | 1992785018 | NPPES |
| Indiana | MEDICAID | 201336910 | |
| Indiana | MEDICAID | 7100373990 | |
| Indiana | MEDICAID | 0684531 |
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