Moore, Stephen R
Moore, Stephen R is an sole proprietor health care provider with primary practice located at 1040 Summitt Sq , Middletown OH 45042-3400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Moore, Stephen R can be contacted via phone (513) 425-0533.Contact Information
Primary practice address
1040 Summitt Sq
Middletown OH 45042-3400
Phone: (513) 425-0533
Fax: (513) 425-0527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 35054764 | Ohio |
Profile Details
| NPI number | 1083681076 |
|---|---|
| LBN Legal business name | Moore, Stephen R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2006 |
| Last updated | May 15th, 2008 - about 16 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 | 1083681076 | NPPES |
| Ohio | MEDICAID | 0766827 |
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