Moore, Susan J

Moore, Susan J is an individual health care provider with primary practice located at 4247 W Ridge Rd Ste 105 , Erie PA 16506-1746. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moore, Susan J can be contacted via phone (814) 838-2468.

Contact Information

Primary practice address
4247 W Ridge Rd Ste 105 Erie PA 16506-1746
Phone: (814) 838-2468
Fax: (814) 835-2599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD044660E Pennsylvania

Profile Details

NPI number 1912982661
LBN Legal business name Moore, Susan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Oct 7th, 2020 - about 4 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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