Moore, Sue D

Moore, Sue D is an individual health care provider with primary practice located at 621 S New Ballas Rd Suite 2009B, Saint Louis MO 63141-8232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Moore, Sue D can be contacted via phone (314) 251-6880.

Contact Information

Primary practice address
621 S New Ballas Rd Suite 2009B Saint Louis MO 63141-8232
Fax: (314) 251-6919
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 113681 Missouri

Profile Details

NPI number 1164459772
LBN Legal business name Moore, Sue D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 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 1164459772 NPPES
Missouri Other 338322 HEALTHLINK
Missouri Other 113282 HEALTHLINK
Missouri Other 6715780 HEALTHLINK
Missouri Other 4454848 HEALTHLINK
Missouri Other 272132 HEALTHLINK
Missouri Other 7400110 HEALTHLINK

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